The document discusses implementing a change initiative to address compassion fatigue among nursing staff in a hospital's surgical units. It proposes educating nurses on compassion fatigue, identifying signs, and developing constructive coping strategies. An interprofessional team will introduce the change using the John Hopkins Nursing Evidence-Based Practice Model. Nurses will be surveyed before and after using a standardized questionnaire to evaluate the intervention's effectiveness in reducing fatigue and improving coping mechanisms. If shown to be effective, the change could be expanded to other units and facilities to help sustain improved nurse well-being and patient care over the long term.
Strategic Analysis and Leadership Interventions 1Strategic A.docxflorriezhamphrey3065
Strategic Analysis and Leadership Interventions 1
Strategic Analysis and Leadership Interventions 3
Strategic Analysis and Leadership Interventions
Kelley Hageman
Capella University
Introduction
Every organization that is offering services to people, must first implement strategies that will help in determining how to deal with different issues that tend to arise, more specifically in the nursing field. It is out of this a cycle is formed with various models that will facilitate changes, so as to reduce any boundaries that tend to occur. (Melnyk, & Overholt 2011). In these cases, we are focusing on the issue of blurring, which has caused a loss in clear nursing authority. The reason every nurse is licensed, is to ensure that better methods are applied in making sure that the patient receives the best, most recent, evidence based care, from the professional nurse. It has also been said that the character of the nurse is as important as the knowledge she possess. From the education of the nurse to the character, different leadership aspects are portrayed, and determine what professional qualities the nurse will offer to the patient. Having said that, the nurse needs to continue to acquire a better understanding, greater knowledge, and more refined skills that will help them improve their delivery of health care services to the patient, and what he/she brings to the table. In addition, the strategies and the working structure that are brought out, determines the application of the model to be used, and how each person is restricted to his/her responsibilities.
Choose an analysis model that is appropriate to your selected issue
Any model is initiated to making sure that certain matters are addressed which helps increase the ability to come up with better solutions in dealing with the issues at hand. More specifically, the boundaries that are created by the medical nurse administrator and senior nurses have at times been blurred, which has prompted a loss in apparent nursing authority. It is out of this that, this problem has caused patients to suffer, if the people that can best take care of them and their issues, is not being placed in charge of their care. Initiation of any Model implies that there are some factors that need to be addressed and accomplished for the better of the institution. In addition to models, the introduction of the PDSA cycle helps to solve particular issues which may arise from having the ability to use each model, in that it helps identify the primary cause of the problems and how the issues can be improved.
By introduction of these phases within the PDSA cycle, changes can be made. Change happens because with this model, planning is facilitated, acting in accordance to needs, and finally, the doing phase, which all show a good strategic structure, that the helps the nurse clearly identify any patient with any problem, and as a nurse leader, they can delegate accordingly. Apart from the PDSA cycle, ther.
Organizational Behavior Management:
Submitted to:
Submitted by:
Course code:
Assignment number:
Date:
Contents
Introduction 2
Explain why the increase in the manager’s use of group behavior-based feedback is important. 2
Significance of communication for quality of services 2
Past problems 3
Reason of problems 3
Propose intervention strategies the group leader can use to enhance the group effectiveness. 4
Feedback of employees 4
Feedback of patients 4
Explain the motivational theory applicable to sustain the four results listed in the case study. 5
Discussion 5
Conclusion 6
Bibliography 7
Organizational Behavior ManagementIntroduction
This case study is about a hospital, where the employees of the hospital, like doctors, nurses and any other medical staff have to deal with the patients. Normally the patients should be given the required level of consideration for which they have selected the hospital should. Management should also be concerned about the quality of the services which the medical staff of the hospital is delivering to the patients. In this hospital, there was a research which was conducted in order to evaluate the quality of the services which the hospital has delivered to the patients. It was found that the employee of the hospital were not delivering the services of optimal level to the patients. The patients have mentioned in their feedback that they have some concerns and doubts in their mind about the role of management and the commitment of the employees of the hospital with their jobs. The patients were not satisfied from the attitude of the management and the quality of services at hospitalExplain why the increase in the manager’s use of group behavior-based feedback is important.Significance of communication for quality of services
The quality of the services in the hospital can be improved by ensuring that all the communication channels in the organization are operating effectively and efficiently and there is no distortion in the flow of the information through these channels of communication from one medium to the other medium. The communication in an organization might be of different types. There might be the formal communication inside the organization while on the other hand there might be the informal communication in an organization. These two classes of the communication can be sub categorized in to the verbal communication and nonverbal communication (Griffin, 2011).
Many other factors can also play core role in ensuring the efficiency and the effectiveness of the communication system inside an organization. One factor which can be ignored while evaluating the results of this study is the “structure of the organizations”. There might be centralized structure in an organization while on the other hand their might be decentralized structure of an organization. The chain of communication in the centralization system might be long while on the other hand the length of the chain of the communication .
Strategic Analysis and Leadership Interventions 1Strategic A.docxflorriezhamphrey3065
Strategic Analysis and Leadership Interventions 1
Strategic Analysis and Leadership Interventions 3
Strategic Analysis and Leadership Interventions
Kelley Hageman
Capella University
Introduction
Every organization that is offering services to people, must first implement strategies that will help in determining how to deal with different issues that tend to arise, more specifically in the nursing field. It is out of this a cycle is formed with various models that will facilitate changes, so as to reduce any boundaries that tend to occur. (Melnyk, & Overholt 2011). In these cases, we are focusing on the issue of blurring, which has caused a loss in clear nursing authority. The reason every nurse is licensed, is to ensure that better methods are applied in making sure that the patient receives the best, most recent, evidence based care, from the professional nurse. It has also been said that the character of the nurse is as important as the knowledge she possess. From the education of the nurse to the character, different leadership aspects are portrayed, and determine what professional qualities the nurse will offer to the patient. Having said that, the nurse needs to continue to acquire a better understanding, greater knowledge, and more refined skills that will help them improve their delivery of health care services to the patient, and what he/she brings to the table. In addition, the strategies and the working structure that are brought out, determines the application of the model to be used, and how each person is restricted to his/her responsibilities.
Choose an analysis model that is appropriate to your selected issue
Any model is initiated to making sure that certain matters are addressed which helps increase the ability to come up with better solutions in dealing with the issues at hand. More specifically, the boundaries that are created by the medical nurse administrator and senior nurses have at times been blurred, which has prompted a loss in apparent nursing authority. It is out of this that, this problem has caused patients to suffer, if the people that can best take care of them and their issues, is not being placed in charge of their care. Initiation of any Model implies that there are some factors that need to be addressed and accomplished for the better of the institution. In addition to models, the introduction of the PDSA cycle helps to solve particular issues which may arise from having the ability to use each model, in that it helps identify the primary cause of the problems and how the issues can be improved.
By introduction of these phases within the PDSA cycle, changes can be made. Change happens because with this model, planning is facilitated, acting in accordance to needs, and finally, the doing phase, which all show a good strategic structure, that the helps the nurse clearly identify any patient with any problem, and as a nurse leader, they can delegate accordingly. Apart from the PDSA cycle, ther.
Organizational Behavior Management:
Submitted to:
Submitted by:
Course code:
Assignment number:
Date:
Contents
Introduction 2
Explain why the increase in the manager’s use of group behavior-based feedback is important. 2
Significance of communication for quality of services 2
Past problems 3
Reason of problems 3
Propose intervention strategies the group leader can use to enhance the group effectiveness. 4
Feedback of employees 4
Feedback of patients 4
Explain the motivational theory applicable to sustain the four results listed in the case study. 5
Discussion 5
Conclusion 6
Bibliography 7
Organizational Behavior ManagementIntroduction
This case study is about a hospital, where the employees of the hospital, like doctors, nurses and any other medical staff have to deal with the patients. Normally the patients should be given the required level of consideration for which they have selected the hospital should. Management should also be concerned about the quality of the services which the medical staff of the hospital is delivering to the patients. In this hospital, there was a research which was conducted in order to evaluate the quality of the services which the hospital has delivered to the patients. It was found that the employee of the hospital were not delivering the services of optimal level to the patients. The patients have mentioned in their feedback that they have some concerns and doubts in their mind about the role of management and the commitment of the employees of the hospital with their jobs. The patients were not satisfied from the attitude of the management and the quality of services at hospitalExplain why the increase in the manager’s use of group behavior-based feedback is important.Significance of communication for quality of services
The quality of the services in the hospital can be improved by ensuring that all the communication channels in the organization are operating effectively and efficiently and there is no distortion in the flow of the information through these channels of communication from one medium to the other medium. The communication in an organization might be of different types. There might be the formal communication inside the organization while on the other hand there might be the informal communication in an organization. These two classes of the communication can be sub categorized in to the verbal communication and nonverbal communication (Griffin, 2011).
Many other factors can also play core role in ensuring the efficiency and the effectiveness of the communication system inside an organization. One factor which can be ignored while evaluating the results of this study is the “structure of the organizations”. There might be centralized structure in an organization while on the other hand their might be decentralized structure of an organization. The chain of communication in the centralization system might be long while on the other hand the length of the chain of the communication .
Reflective Journal Week 5Topic Philosophies and Theories for Ad.docxsodhi3
Reflective Journal Week 5
Topic: Philosophies and Theories for Advanced Nursing Practice
Course objective:
1. Examine disciplinary influences on nursing inquiry such as biology, medicine, psychology, sociology, and philosophy, among others.
2. Evaluate the application and adaptation of borrowed theories to nursing practice.
Discussion Question: 5 DQ 1
Learning theories have implications for advanced practice nurses outside the classroom. Share an example describing the application of learning theory or theories to develop a program targeting change to a specific organizational issue, patient lifestyle, or specific unhealthy behaviors.
Nursing education is essential to equip professionals with appropriate skills and competencies in line with the changing demands. In this regard, learning theories offer important guidelines for planning of an educational system within the clinical training. Two important areas highlighted in any theory include a change of behavior and talent development. Overall, the stimulus and responses emanating from clinical training should be aimed at improving the skills of clinical professionals. Health professions also need to show the regular use of theories and clear reasoning in educational activities, interactions with patients and clients, management, employee training, continuing education and health promotion programs, especially in the current health care structure.
For example, behaviorists underscore that learning should be a continuous process: the process should aim at achieving the needs that arise in the course of time. DeCoux (2016) observes that regular training of clinical workers is appropriate at all times as the latter reinforces positive behaviors. For instance, poor work relations and productivity among the clinical workers can be enhanced through training. The process also offers practical skills that are not normally taught in the classroom environment. Moreover, such a training program is created with great consideration of the specific needs and organizational interests. The trainers are given an opportunity to understand the needs of workers in a manner that influences the formulation of tactical human resource strategies.
In the same vein, clinical training is critical in talent development. The move allows administrators to assign duties according to the skills and qualifications of an individual. The process is helpful to enhance productivity and positive performance among the workers. Hessler & Henderson (2013) recognize that learning for nursing professionals should be interactive where their participation is paramount. Through this form of training, workers develop a better way to relate and connect with one another. It is also noteworthy that the clinical environment is changing by the day with new needs and dynamics that different approaches to offering to the right interventions. Therefore, clinical administrators need to promote continuous practical training among the staff.
Learni ...
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 ...
Reply DB5 w9 research
Reply discussion boards
1-jauregui
Discuss how the quantitative and qualitative data would complement one another and add strength to the study.
Evidently, the use of EBP in healthcare mostly relies on the available qualitative and quantitative data which is supported by scientific or clinical research. In studying the EBP, quantitative data is used to enhance qualitative information and vice versa, because one method complements the other one (Tappen, 2015, p.88). For example, in the selected article the EBP about beliefs and behaviors of nurses showed that the number of the nurses who were certified vs. nurses who were not certified explained why some of the nurses have higher perceived EBP implementation than others (Eaton, Meins, Mitchell, Voss, & Doorenbos, 2015, “Evidence-Based Practice Beliefs and Behaviors”). Quantitative data would improve the study by providing evidence in the form of numbers or amounts such as the scores which show the proficiency of nurses in different areas (Eaton, Meins, Mitchell, Voss, & Doorenbos, 2015, “Evidence-Based Practice Beliefs and Behaviors”). Quantitative data could strengthen the study by providing more detailed information about EBP implementation which will explain certain trends and occurrences as found in the research.
2- rosquete
The qualitative research is exploratory/ descriptive and emphasizes the importance of subjects frame to be referenced and the context of the study. The research will be more concerned with the truth perceived by informants and less concerned with the truth of the objectives. The information from this research will be important in understanding the informants’ behaviors in details. The description of this approach will be used to get the picture and the opinion of nursing caregivers on the use of CNS depressants by the elderly (Susan, Nancy, & Jennifer, 2013).
The method that is used is explorative/descriptive. The strengths of the descriptive method are: effective to analyze non-quantified subjects and issues, the possibility to observe the phenomenon in a natural environment, the opportunity to use qualitative and quantitative method together, and less time consuming than quantitative studies. In the case of exploratory studies, the principal advantage is the flexibility and adaptability to change and it is effective in laying the groundwork that guides to future research. We can find disadvantages in this kind of studies. For example, descriptive studies cannot test or verify the research problem statically, the majority of descriptive studies are not repeatable due to their observational nature, and they are not helpful in identifying cause behind the described phenomenon. Another weak point, that includes exploratory research, is the interpretation of information is subject to bias. These type of studies make use a modest number of samples that may not represent the target population and they are not usually helpful in decision ma.
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.
Running head CAPSTONE PROJECT 1CAPSTONE PROJECT 3.docxsusanschei
Running head: CAPSTONE PROJECT 1
CAPSTONE PROJECT 3
Capstone Project Topic Selection: Improving Workflow for Nurses Working in Primary
Care Settings
Capstone Project Topic Selection and Approval
Problem or Issue
One of the major problems that affect nurses is improving workflow in a busy environment. When nurses are few and, healthcare professionals often face work overload. This has the potential to affect the quality of care given to patients in busy environments. When workload is high, efficiency reduces, thus making nurses vulnerable to errors (Cain & Haque, 2009). The healthcare sector has often faced a lot of demands to develop or reestablish its workflow. In many situations, the desire for evaluating workflow is the need to respond to new ways in which tasks are completed. There are various workflow issues that continue to face nurses in their working environments. They include challenges related to providing services to critically ill patients, and emergence of multidisciplinary teams in care. In such environments, all healthcare professionals struggle with the need to implement change that makes the care team more patient-centered.
Setting/ Context
The context under which this problem is common is primary care setting. Primary care settings are those that provide medical and psychological diagnosis and treatment. Primary healthcare settings are also involved in the provision of personal support for patients of all backgrounds, and in all stages of illness (Goroll & Mulley, 2012). In primary healthcare settings, nurses and other professionals are involved in the communication of information about prevention, diagnosis, treatment, and prognosis, as well as the prevention and care of chronic disease and disabilities through risk evaluation, health education, and early disease detection.
High-Level Detail of the Problem
Nurses operating in primary healthcare settings are often overburdened with many tasks that interfere with the workflow. This is particularly true when they are working in multidisciplinary teams that require coordination and cohesion. In such cases, it might be difficult to clearly determine each professional’s roles and responsibilities (Hickey & Kritek, 2011). At the same time, when the number of nurses is few, the available one’s face stress and physical strain that might interfere with the quality of care given to patients and increase likelihood of errors. In an environment where technological interventions do not sufficiently meet the objectives of healthcare groups, it might also cause workflow issues. Such alternative flows arouse worries since the non-formal mechanisms depend upon the health professionals’ memory and may overlook the safety systems that might be offered.
Impact of the Problem
Workflow issues often generate vinous negative impacts on both the nurses and the patients. For instance, poor coordination among healthcare professionals can result in errors that pose many harms to the pa ...
Social Cognitive TheoryThis theory was introduced by Albert Band.docxpbilly1
Social Cognitive Theory
This theory was introduced by Albert Bandura, which stated that individuals could learn positively by using interactive behavior, human dialogue, direct experiences, and common observations. The sole purpose of the theory is to comprehend and predict the individual or group behavior and to identify methods by which change or modification can be achieved. The major changes include the promotion of health activities, change in behavior, and improved personality. It is also indicated in the theory that environmental variations, behavior changes, and individual personal factors are the real causes to affect one’s behavior (White et al., 2019). Social cognitive theory is predominantly helpful when collaborated with educational institutions to improve behavior changes like introducing advanced knowledge into practice. Prochaska and DiClementi’s Model of Behavior Change is one of the most beneficial and productive models for health behavior changes.
Stages of Change Theory
Prochaska and DiClementi’s Model of Behavior Change was initially established to target the customers that need a change in health behavior, especially smokers under therapy treatment. There were four stages of this theory at the start, but now it has five different stages along with additional consideration of multiple audiences rather than individual cases. These stages of change theory are as follows:
Precontemplation
refers to the condition in which an individual does not understand and unaware consciously or unconsciously of the fact that change is a necessity for him/her.
Contemplation
indicates the situation of the person who is well aware of the problem and started to think about changing his or her attitude.
Preparation for action
indicates whenever the individual is ready to accept the challenge to change the attitude and start preparing to change is considered as “the act of preparation.” This stage may be clear within 02 weeks after making the decision to change. The
action
starts with the engagement of an individual into the change activities and understands how to cope with the behavioral change.
Maintenance
is considered as the final stage, which varies with individuals, but normally it may take up to six months. Any change in behavior must be strengthened in order to sustain the change.
Appraisal of evidence
There is a lot of evidence that proved that this model or theory could create a difference in the health behavior of an individual. Prochaska, DiClemente, and Norcross defined ten procedures that can evaluate and inspire the movement across the stages, which include Re-evaluation of environmental activities, Individual self-freedom, Social freedom, Sense of dramatic relief, Awareness levitation, Re-evaluation of self-esteem, Improvement in the relationships, Strengthening of management, Incitement control and Counter conditioning. These are some of the processes that can be achieved through this model or theory. The evide.
Initial PostWhile working as a registered nurse on the Alzheimer.docxLaticiaGrissomzz
Initial Post
While working as a registered nurse on the Alzheimer's Unit, you find Susan, a resident, wandering in the hallway.
· View these videos of the client history and the encounter in the hallway
·
Neurocognitive Disorder, Case 1: Susan, Case 1, Susan, Core Video: Alzheimer’s Dementia, Introduction to Case
https://search-alexanderstreet-com.ezproxy.rasmussen.edu/view/work/bibliographic_entity%7Cvideo_work%7C3896429
·
Neurocognitive Disorder, Case 1: Susan, Case 1, Susan, Core Video: Alzheimer's Dementia –
https://search-alexanderstreet-com.ezproxy.rasmussen.edu/view/work/bibliographic_entity%7Cvideo_work%7C3893939
· Develop a list of cues you identified from hearing the history and viewing the assessment
· Cluster these clues based on an analysis of relevancy to the clinical situation and areas of concern
· Identify at least two types of additional information you want to collect based on the multiple modes of inquiry, including a brief description of why this additional information is necessary
· Empirical Inquiry
· Ethical Inquiry
· Aesthetic Inquiry
· Sociopolitical Inquiry
· Generate four hypotheses relevant to the clinical situation and cue analysis
· Prioritize the four hypotheses
· Support the order of prioritization with rationales and evidence
APA 7
Four References
NURSING 5
Peer 1
Kerri Hutchins
Top of Form
Improving practice through evidence not only helps lower healthcare costs, improve healthcare outcomes and patient safety, but it also helps to increase job satisfaction for medical professionals (Kim, et al, 2016). Disseminating information about widely cited evidence-based practices is an important part of moving our healthcare system forward. According to Melnyk (2012), it often takes several years for the results of research to be put into practice and actually affect patient care.
The first strategy that I would utilize to disseminate EBP information would be unit-level education. I would initially provide an in-service to provide education about the EBP that would be beneficial to our unit. I would also utilize a second strategy of unit posters as well as a unit-based champion to help reinforce the positive results of the EBP. Barriers to this types of information being learned and then used in practice would be each persons willingness to learn something new and change the way they may be used to doing something. I would combat this by starting out the presentation with information about evidence-based practice as well as provide a fact-sheet about the evidence in the research that is being presented. Another way I would combat this would be to lead by example and try to demonstrate the EBP in every day practice. Melnyk et al (2011) stated that in order “for clinicians to change their practices to be evidence based, both their beliefs about the value of EBP and their confid.
Part 6 Disseminating Results Create a 5-minute, 5- to 6-sli.docxsmile790243
Part 6: Disseminating Results
Create a 5-minute, 5- to 6-slide narrated PowerPoint presentation of your Evidence-Based Project:
· Be sure to incorporate any feedback or changes from your presentation submission in Module 5.
· Explain how you would disseminate the results of your project to an audience. Provide a rationale for why you selected this dissemination strategy.
Points Range: 81 (81%) - 90 (90%)
The narrated presentation accurately and completely summarizes the evidence-based project. The narrated presentation is professional in nature and thoroughly addresses all components of the evidence-based project.
The narrated presentation accurately and clearly explains in detail how to disseminate the results of the project to an audience, citing specific and relevant examples.
The narrated presentation accurately and clearly provides a justification that details the selection of this dissemination strategy that is fully supported by specific and relevant examples.
The narrated presentation provides a complete, detailed, and specific synthesis of two outside resources related to the dissemination strategy explained. The narrated presentation fully integrates at least two outside resources and two or three course-specific resources that fully support the presentation.
Written Expression and Formatting—Paragraph Development and Organization:
Paragraphs make clear points that support well-developed ideas, flow logically, and demonstrate continuity of ideas. Sentences are carefully focused—neither long and rambling nor short and lacking substance. A clear and comprehensive purpose statement and introduction is provided which delineates all required criteria.
Points Range: 5 (5%) - 5 (5%)
Paragraphs and sentences follow writing standards for flow, continuity, and clarity.
A clear and comprehensive purpose statement, introduction, and conclusion is provided which delineates all required criteria.
Written Expression and Formatting—English Writing Standards:
Correct grammar, mechanics, and proper punctuation.
Points Range: 5 (5%) - 5 (5%)
Uses correct grammar, spelling, and punctuation with no errors.
Evidenced Based Change
Leslie Hill
Walden University
Introduction/PurposeChange is inevitable.Health care organizations need change to improve.There are challenges that need to be addressed(Baraka-Johnson et al. 2019).Challenges should be addressed using evidence-based research.These changes enhance professionalism therefore improving quality of care and quality of life.The purpose of this paper is to identify an existing problem in health care and suggest a change idea that would be effective in addressing the problem. The paper also articulates risks associated with the change process, how to distribute the change information and how to implement change successfully.
Organizational CultureThe Organization is a hospice facilityOffers end of life care for pain and symptom managementThe health care providers cu.
PUH 5304, Health Behavior 1 Course Learning OutcomVannaJoy20
PUH 5304, Health Behavior 1
Course Learning Outcomes for Unit VI
Upon completion of this unit, students should be able to:
5. Examine health behavior intervention strategies.
5.1 Assess the many aspects that accompany intervention planning such as goals and objectives,
setting, community resources, and timelines.
5.2 Identify an intervention strategy that relates to intervention implementation within a community.
Course/Unit
Learning Outcomes
Learning Activity
5.1
Unit Lesson
Chapter 12
Unit VI Assignment
5.2
Unit Lesson
Chapter 12
Unit VI Assignment
Reading Assignment
Chapter 12: Translating Research to Practice: Putting “What Works” to Work
Unit Lesson
In Unit V, we addressed how theories and models such as the social cognitive theory, the health behavior
model, and the theory of planned behavior play a role in intervention planning. This unit, we will build on the
foundation of theories and models and look at how to be strategic in determining interventions. The reading
highlights the concerns that health educators should have as it relates to the design and evaluation process to
determine the successfulness of interventions for a given health behavior.
Intervention Strategizing
When a health educator is developing an intervention strategy to help with a particular health behavior, there
are a few key factors to consider: identifying the target population, selecting a setting, setting goals and
objectives, and identifying resources and a timeline. Each of these factors are a concern for health educators
when developing interventions (Powell et al., 2017).
Target population: Who are you planning the intervention for? Are there any special needs? For instance,
adolescents have special needs because they are in school during the day, so an intervention for them would
need to be after school, on the weekend, or through the school. An intervention for seniors should be held
during the day because seniors normally shy away from being out at dusk or dark. If the intervention were for
the working population, there would be better attendance in the evenings or weekends. The goal with
determining the population for the intervention is to think of alleviating any barriers that may affect most of the
population (Powell et al., 2017).
Setting: Where will the intervention be held? Is there handicap access for seniors or elevator accessibility? Is
the location easily accessible? Is there public parking? What is the room reservation process? Is the setting
outdoors, and if so, are there backup plans in case of bad weather? As the health educator, you should take
into account the best setting to meet the needs of the population that has been identified (Nilsen, 2015).
UNIT VI STUDY GUIDE
Interventions for Health Behavior
PUH 5304, Health Behavior 2
UNIT x STUDY GUIDE
Title
Goals/Objectives: The health educator should be clear on the goals and objectives of ...
Reflective Journal Week 5Topic Philosophies and Theories for Ad.docxsodhi3
Reflective Journal Week 5
Topic: Philosophies and Theories for Advanced Nursing Practice
Course objective:
1. Examine disciplinary influences on nursing inquiry such as biology, medicine, psychology, sociology, and philosophy, among others.
2. Evaluate the application and adaptation of borrowed theories to nursing practice.
Discussion Question: 5 DQ 1
Learning theories have implications for advanced practice nurses outside the classroom. Share an example describing the application of learning theory or theories to develop a program targeting change to a specific organizational issue, patient lifestyle, or specific unhealthy behaviors.
Nursing education is essential to equip professionals with appropriate skills and competencies in line with the changing demands. In this regard, learning theories offer important guidelines for planning of an educational system within the clinical training. Two important areas highlighted in any theory include a change of behavior and talent development. Overall, the stimulus and responses emanating from clinical training should be aimed at improving the skills of clinical professionals. Health professions also need to show the regular use of theories and clear reasoning in educational activities, interactions with patients and clients, management, employee training, continuing education and health promotion programs, especially in the current health care structure.
For example, behaviorists underscore that learning should be a continuous process: the process should aim at achieving the needs that arise in the course of time. DeCoux (2016) observes that regular training of clinical workers is appropriate at all times as the latter reinforces positive behaviors. For instance, poor work relations and productivity among the clinical workers can be enhanced through training. The process also offers practical skills that are not normally taught in the classroom environment. Moreover, such a training program is created with great consideration of the specific needs and organizational interests. The trainers are given an opportunity to understand the needs of workers in a manner that influences the formulation of tactical human resource strategies.
In the same vein, clinical training is critical in talent development. The move allows administrators to assign duties according to the skills and qualifications of an individual. The process is helpful to enhance productivity and positive performance among the workers. Hessler & Henderson (2013) recognize that learning for nursing professionals should be interactive where their participation is paramount. Through this form of training, workers develop a better way to relate and connect with one another. It is also noteworthy that the clinical environment is changing by the day with new needs and dynamics that different approaches to offering to the right interventions. Therefore, clinical administrators need to promote continuous practical training among the staff.
Learni ...
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 ...
Reply DB5 w9 research
Reply discussion boards
1-jauregui
Discuss how the quantitative and qualitative data would complement one another and add strength to the study.
Evidently, the use of EBP in healthcare mostly relies on the available qualitative and quantitative data which is supported by scientific or clinical research. In studying the EBP, quantitative data is used to enhance qualitative information and vice versa, because one method complements the other one (Tappen, 2015, p.88). For example, in the selected article the EBP about beliefs and behaviors of nurses showed that the number of the nurses who were certified vs. nurses who were not certified explained why some of the nurses have higher perceived EBP implementation than others (Eaton, Meins, Mitchell, Voss, & Doorenbos, 2015, “Evidence-Based Practice Beliefs and Behaviors”). Quantitative data would improve the study by providing evidence in the form of numbers or amounts such as the scores which show the proficiency of nurses in different areas (Eaton, Meins, Mitchell, Voss, & Doorenbos, 2015, “Evidence-Based Practice Beliefs and Behaviors”). Quantitative data could strengthen the study by providing more detailed information about EBP implementation which will explain certain trends and occurrences as found in the research.
2- rosquete
The qualitative research is exploratory/ descriptive and emphasizes the importance of subjects frame to be referenced and the context of the study. The research will be more concerned with the truth perceived by informants and less concerned with the truth of the objectives. The information from this research will be important in understanding the informants’ behaviors in details. The description of this approach will be used to get the picture and the opinion of nursing caregivers on the use of CNS depressants by the elderly (Susan, Nancy, & Jennifer, 2013).
The method that is used is explorative/descriptive. The strengths of the descriptive method are: effective to analyze non-quantified subjects and issues, the possibility to observe the phenomenon in a natural environment, the opportunity to use qualitative and quantitative method together, and less time consuming than quantitative studies. In the case of exploratory studies, the principal advantage is the flexibility and adaptability to change and it is effective in laying the groundwork that guides to future research. We can find disadvantages in this kind of studies. For example, descriptive studies cannot test or verify the research problem statically, the majority of descriptive studies are not repeatable due to their observational nature, and they are not helpful in identifying cause behind the described phenomenon. Another weak point, that includes exploratory research, is the interpretation of information is subject to bias. These type of studies make use a modest number of samples that may not represent the target population and they are not usually helpful in decision ma.
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.
Running head CAPSTONE PROJECT 1CAPSTONE PROJECT 3.docxsusanschei
Running head: CAPSTONE PROJECT 1
CAPSTONE PROJECT 3
Capstone Project Topic Selection: Improving Workflow for Nurses Working in Primary
Care Settings
Capstone Project Topic Selection and Approval
Problem or Issue
One of the major problems that affect nurses is improving workflow in a busy environment. When nurses are few and, healthcare professionals often face work overload. This has the potential to affect the quality of care given to patients in busy environments. When workload is high, efficiency reduces, thus making nurses vulnerable to errors (Cain & Haque, 2009). The healthcare sector has often faced a lot of demands to develop or reestablish its workflow. In many situations, the desire for evaluating workflow is the need to respond to new ways in which tasks are completed. There are various workflow issues that continue to face nurses in their working environments. They include challenges related to providing services to critically ill patients, and emergence of multidisciplinary teams in care. In such environments, all healthcare professionals struggle with the need to implement change that makes the care team more patient-centered.
Setting/ Context
The context under which this problem is common is primary care setting. Primary care settings are those that provide medical and psychological diagnosis and treatment. Primary healthcare settings are also involved in the provision of personal support for patients of all backgrounds, and in all stages of illness (Goroll & Mulley, 2012). In primary healthcare settings, nurses and other professionals are involved in the communication of information about prevention, diagnosis, treatment, and prognosis, as well as the prevention and care of chronic disease and disabilities through risk evaluation, health education, and early disease detection.
High-Level Detail of the Problem
Nurses operating in primary healthcare settings are often overburdened with many tasks that interfere with the workflow. This is particularly true when they are working in multidisciplinary teams that require coordination and cohesion. In such cases, it might be difficult to clearly determine each professional’s roles and responsibilities (Hickey & Kritek, 2011). At the same time, when the number of nurses is few, the available one’s face stress and physical strain that might interfere with the quality of care given to patients and increase likelihood of errors. In an environment where technological interventions do not sufficiently meet the objectives of healthcare groups, it might also cause workflow issues. Such alternative flows arouse worries since the non-formal mechanisms depend upon the health professionals’ memory and may overlook the safety systems that might be offered.
Impact of the Problem
Workflow issues often generate vinous negative impacts on both the nurses and the patients. For instance, poor coordination among healthcare professionals can result in errors that pose many harms to the pa ...
Social Cognitive TheoryThis theory was introduced by Albert Band.docxpbilly1
Social Cognitive Theory
This theory was introduced by Albert Bandura, which stated that individuals could learn positively by using interactive behavior, human dialogue, direct experiences, and common observations. The sole purpose of the theory is to comprehend and predict the individual or group behavior and to identify methods by which change or modification can be achieved. The major changes include the promotion of health activities, change in behavior, and improved personality. It is also indicated in the theory that environmental variations, behavior changes, and individual personal factors are the real causes to affect one’s behavior (White et al., 2019). Social cognitive theory is predominantly helpful when collaborated with educational institutions to improve behavior changes like introducing advanced knowledge into practice. Prochaska and DiClementi’s Model of Behavior Change is one of the most beneficial and productive models for health behavior changes.
Stages of Change Theory
Prochaska and DiClementi’s Model of Behavior Change was initially established to target the customers that need a change in health behavior, especially smokers under therapy treatment. There were four stages of this theory at the start, but now it has five different stages along with additional consideration of multiple audiences rather than individual cases. These stages of change theory are as follows:
Precontemplation
refers to the condition in which an individual does not understand and unaware consciously or unconsciously of the fact that change is a necessity for him/her.
Contemplation
indicates the situation of the person who is well aware of the problem and started to think about changing his or her attitude.
Preparation for action
indicates whenever the individual is ready to accept the challenge to change the attitude and start preparing to change is considered as “the act of preparation.” This stage may be clear within 02 weeks after making the decision to change. The
action
starts with the engagement of an individual into the change activities and understands how to cope with the behavioral change.
Maintenance
is considered as the final stage, which varies with individuals, but normally it may take up to six months. Any change in behavior must be strengthened in order to sustain the change.
Appraisal of evidence
There is a lot of evidence that proved that this model or theory could create a difference in the health behavior of an individual. Prochaska, DiClemente, and Norcross defined ten procedures that can evaluate and inspire the movement across the stages, which include Re-evaluation of environmental activities, Individual self-freedom, Social freedom, Sense of dramatic relief, Awareness levitation, Re-evaluation of self-esteem, Improvement in the relationships, Strengthening of management, Incitement control and Counter conditioning. These are some of the processes that can be achieved through this model or theory. The evide.
Initial PostWhile working as a registered nurse on the Alzheimer.docxLaticiaGrissomzz
Initial Post
While working as a registered nurse on the Alzheimer's Unit, you find Susan, a resident, wandering in the hallway.
· View these videos of the client history and the encounter in the hallway
·
Neurocognitive Disorder, Case 1: Susan, Case 1, Susan, Core Video: Alzheimer’s Dementia, Introduction to Case
https://search-alexanderstreet-com.ezproxy.rasmussen.edu/view/work/bibliographic_entity%7Cvideo_work%7C3896429
·
Neurocognitive Disorder, Case 1: Susan, Case 1, Susan, Core Video: Alzheimer's Dementia –
https://search-alexanderstreet-com.ezproxy.rasmussen.edu/view/work/bibliographic_entity%7Cvideo_work%7C3893939
· Develop a list of cues you identified from hearing the history and viewing the assessment
· Cluster these clues based on an analysis of relevancy to the clinical situation and areas of concern
· Identify at least two types of additional information you want to collect based on the multiple modes of inquiry, including a brief description of why this additional information is necessary
· Empirical Inquiry
· Ethical Inquiry
· Aesthetic Inquiry
· Sociopolitical Inquiry
· Generate four hypotheses relevant to the clinical situation and cue analysis
· Prioritize the four hypotheses
· Support the order of prioritization with rationales and evidence
APA 7
Four References
NURSING 5
Peer 1
Kerri Hutchins
Top of Form
Improving practice through evidence not only helps lower healthcare costs, improve healthcare outcomes and patient safety, but it also helps to increase job satisfaction for medical professionals (Kim, et al, 2016). Disseminating information about widely cited evidence-based practices is an important part of moving our healthcare system forward. According to Melnyk (2012), it often takes several years for the results of research to be put into practice and actually affect patient care.
The first strategy that I would utilize to disseminate EBP information would be unit-level education. I would initially provide an in-service to provide education about the EBP that would be beneficial to our unit. I would also utilize a second strategy of unit posters as well as a unit-based champion to help reinforce the positive results of the EBP. Barriers to this types of information being learned and then used in practice would be each persons willingness to learn something new and change the way they may be used to doing something. I would combat this by starting out the presentation with information about evidence-based practice as well as provide a fact-sheet about the evidence in the research that is being presented. Another way I would combat this would be to lead by example and try to demonstrate the EBP in every day practice. Melnyk et al (2011) stated that in order “for clinicians to change their practices to be evidence based, both their beliefs about the value of EBP and their confid.
Part 6 Disseminating Results Create a 5-minute, 5- to 6-sli.docxsmile790243
Part 6: Disseminating Results
Create a 5-minute, 5- to 6-slide narrated PowerPoint presentation of your Evidence-Based Project:
· Be sure to incorporate any feedback or changes from your presentation submission in Module 5.
· Explain how you would disseminate the results of your project to an audience. Provide a rationale for why you selected this dissemination strategy.
Points Range: 81 (81%) - 90 (90%)
The narrated presentation accurately and completely summarizes the evidence-based project. The narrated presentation is professional in nature and thoroughly addresses all components of the evidence-based project.
The narrated presentation accurately and clearly explains in detail how to disseminate the results of the project to an audience, citing specific and relevant examples.
The narrated presentation accurately and clearly provides a justification that details the selection of this dissemination strategy that is fully supported by specific and relevant examples.
The narrated presentation provides a complete, detailed, and specific synthesis of two outside resources related to the dissemination strategy explained. The narrated presentation fully integrates at least two outside resources and two or three course-specific resources that fully support the presentation.
Written Expression and Formatting—Paragraph Development and Organization:
Paragraphs make clear points that support well-developed ideas, flow logically, and demonstrate continuity of ideas. Sentences are carefully focused—neither long and rambling nor short and lacking substance. A clear and comprehensive purpose statement and introduction is provided which delineates all required criteria.
Points Range: 5 (5%) - 5 (5%)
Paragraphs and sentences follow writing standards for flow, continuity, and clarity.
A clear and comprehensive purpose statement, introduction, and conclusion is provided which delineates all required criteria.
Written Expression and Formatting—English Writing Standards:
Correct grammar, mechanics, and proper punctuation.
Points Range: 5 (5%) - 5 (5%)
Uses correct grammar, spelling, and punctuation with no errors.
Evidenced Based Change
Leslie Hill
Walden University
Introduction/PurposeChange is inevitable.Health care organizations need change to improve.There are challenges that need to be addressed(Baraka-Johnson et al. 2019).Challenges should be addressed using evidence-based research.These changes enhance professionalism therefore improving quality of care and quality of life.The purpose of this paper is to identify an existing problem in health care and suggest a change idea that would be effective in addressing the problem. The paper also articulates risks associated with the change process, how to distribute the change information and how to implement change successfully.
Organizational CultureThe Organization is a hospice facilityOffers end of life care for pain and symptom managementThe health care providers cu.
PUH 5304, Health Behavior 1 Course Learning OutcomVannaJoy20
PUH 5304, Health Behavior 1
Course Learning Outcomes for Unit VI
Upon completion of this unit, students should be able to:
5. Examine health behavior intervention strategies.
5.1 Assess the many aspects that accompany intervention planning such as goals and objectives,
setting, community resources, and timelines.
5.2 Identify an intervention strategy that relates to intervention implementation within a community.
Course/Unit
Learning Outcomes
Learning Activity
5.1
Unit Lesson
Chapter 12
Unit VI Assignment
5.2
Unit Lesson
Chapter 12
Unit VI Assignment
Reading Assignment
Chapter 12: Translating Research to Practice: Putting “What Works” to Work
Unit Lesson
In Unit V, we addressed how theories and models such as the social cognitive theory, the health behavior
model, and the theory of planned behavior play a role in intervention planning. This unit, we will build on the
foundation of theories and models and look at how to be strategic in determining interventions. The reading
highlights the concerns that health educators should have as it relates to the design and evaluation process to
determine the successfulness of interventions for a given health behavior.
Intervention Strategizing
When a health educator is developing an intervention strategy to help with a particular health behavior, there
are a few key factors to consider: identifying the target population, selecting a setting, setting goals and
objectives, and identifying resources and a timeline. Each of these factors are a concern for health educators
when developing interventions (Powell et al., 2017).
Target population: Who are you planning the intervention for? Are there any special needs? For instance,
adolescents have special needs because they are in school during the day, so an intervention for them would
need to be after school, on the weekend, or through the school. An intervention for seniors should be held
during the day because seniors normally shy away from being out at dusk or dark. If the intervention were for
the working population, there would be better attendance in the evenings or weekends. The goal with
determining the population for the intervention is to think of alleviating any barriers that may affect most of the
population (Powell et al., 2017).
Setting: Where will the intervention be held? Is there handicap access for seniors or elevator accessibility? Is
the location easily accessible? Is there public parking? What is the room reservation process? Is the setting
outdoors, and if so, are there backup plans in case of bad weather? As the health educator, you should take
into account the best setting to meet the needs of the population that has been identified (Nilsen, 2015).
UNIT VI STUDY GUIDE
Interventions for Health Behavior
PUH 5304, Health Behavior 2
UNIT x STUDY GUIDE
Title
Goals/Objectives: The health educator should be clear on the goals and objectives of ...
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Change Evaluation And Sustainability Essay Paper.docx
1. Change Implementation, Evaluation And Sustainability Essay Paper
Change Implementation, Evaluation And Sustainability Essay PaperImplementationThe
proposed change intends to address the issue of compassion fatigue among nursing
personnel in the surgical units where gunshot and motor vehicle accidents patients are
transferred to after being stabilized in the trauma unit. In this case, compassion fatigue is
described as a situation whereby medical personnel who are expected to regularly care for
others end up immersing themselves in the unique caring role and its associated unit.
Owing to the immersion, they end up disregarding their personal health concerns. With this
disregard, medical personnel (especially nurses) developing new behaviors to cope with the
issues brought about by the immersion. While some medical personnel can engage in
constructive behavior to cope with the issue (such as engaging in sports or other leisurely
activities), others would develop destructive behaviors as a coping strategy to include
apathy, isolation, suppressed emotions and substance abuse. Although the destructive
behaviors could have little to not implications for the short term, they will become more
significant in the long term through negatively affecting the capacity to complete
professional tasks. For that matter, compassion fatigue is an issue of concern among nursing
personnel in the surgical unit since it adversely affects their professional performance,
length of service, and care outcomes for patients. It is clear that compassion fatigue is an
issue that must be addressed with urgency, to include developing a change plan that
educates nursing personnel operating in the surgical unit on the concept of compassion
fatigue as a problem while aiding them on how best to develop constructive strategies to
minimize its occurrence and reduce its negative effects. In response to the identified
problem, the proposed change intends to introduce a change action plan to be applied by
nursing personnel in the surgical unit. The change would entail educating nursing personnel
on how to identify compassion fatigue and address it as an immediate concern Change
Implementation, Evaluation And Sustainability Essay Paper.ORDER YOUR PAPER
HERENursing inherently requires compassion to be effective. That is because during their
course of completing their professional tasks, nurses are forced to experience and witness
tragedies that they have little to no control over. Owing to the fact that nurses do not
anticipate these tragedies, they end up experiencing an emotional backlash that presents as
compassion fatigue (Ray et al., 2013). With repeated exposure to tragedies, the emotional
backlash becomes more severe and has a negative impact on their capacity to complete
professional duties. In a bid to cope with a backlash, nurses would typical develop coping
mechanisms that present as negative behaviors. Boyle (2011) explains this point by
2. mentioning that compassion fatigue causes nursing personnel to develop unfavorable
behavior that become increasingly difficult to reverse over time. It further adds that there is
a need to present appropriate interventions that include changing the work setting,
educating nursing personnel, and creating a good life-work balance as well as therapy,
support groups and counselling (Boyle, 2011)Change Implementation, Evaluation And
Sustainability Essay Paper. Potter et al. (2013) expresses similar sentiments by noting that
preemptive intervention reduced compassion fatigue incidence.The proposed change
project will be guided by the change model presented in the John Hopkins Nursing
Evidence-Based Practice Process. The model was developed by the Institute for John
Hopkins as a problem solving approach that is reliant in current evidence and is useful in
addressing clinical needs. It applies user-friendly tools to guide the target population on
how to apply the appropriate behavior and achieve the desired results. The model’s
framework has been tailored for the present problem and institution. This entails applying
the model to evaluate the present problem and offer an action plan that includes a strategic
implementation direction while educating the population on the proceeding steps and how
to move forward (John Hopkins Medicine, 2018). As such, the model presents the most
appropriate framework for applying evidence-based changes when addressing the problem
of compassion fatigue in surgical units. To be more precise, the model has been applied as
the contextual framework for directing evidence synthesis and translation using three tools
in the form of practice, education and research. The model will be applied to direct how
evidence is managed and used to direct decision-making so that both internal and internal
factors are incorporated into the change strategy (Fulton, Lyon & Goudreau, 2014) Change
Implementation, Evaluation And Sustainability Essay Paper.The project intends to recruit
an interprofessional team to manage the change. The team is expected to apply
collaborative efforts to support the change while making constructive recommendations to
improve understanding of the change project. The team has been assigned four identities.
The first identity is the team manager who is responsible for coordinating all activities and
ensuring that the results march the intentions while considering resource aspects that
include personnel and time. The second identity is nurse mentor who function in an
advisory and consultancy capacity for the project. Three nurse mentors will be recruited in
the project and charged with the responsibility of educating the participating nursing
personnel on how to avoid compassion fatigue by managing their professional
responsibilities. The third identity is professional counsellors. Two counsellors will be
recruited in the project and charged with the responsibility of offering counseling services
to nursing personnel to either address incidences of compassion fatigue or preempt its
occurrence. The final identity is nursing personnel. Their role in the change program will be
the primary source of information. In this case, they will be divided into two groups as the
study and control group. The study group will continue with their practice as normal while
the study group will be subjected to the intervention program. Even as the program
continues, they will be asked to complete pre-structured questionnaires on a monthly basis.
As such, the nurses’ role and responsibility in the pilot program will be to act as the primary
source of information.EvaluationThe change project intends to achieve reduced incidence of
compassion fatigue among nursing personnel, as well as application of constructive coping
3. mechanisms in the case of occurrence. The study outcomes will be measured using a
modified ProQOL (Professional Quality of Life) questionnaire. It will collect information on
compassion satisfaction, burnout and secondary trauma scores. The use of the
questionnaire as the evaluation tool is considered appropriate since it is an easy to apply
and cheap data collection tool when compared to interviews or other data collection tools.
The questionnaire will administer sequentially ordered questions that are articulated to
collect information on compassion fatigue. Through using the questionnaire, the data
compilation and results analysis would also be eased since the collected data would be
subjected to software-mediated statistical analysis (Hinderer et al., 2014) Change
Implementation, Evaluation And Sustainability Essay Paper. The questions presented in the
questionnaire will be both mutually exclusive and exhaustive to meet the project’s
objective.The questionnaire will be presented in three parts. The first part collects general
demographic information that includes information on age, gender, level of education,
number of children, marital status and ethnicity since these are factors that could influence
the participants’ perception of compassion fatigue. For instance, the better educated
participants are expected to have a greater appreciation of compassion fatigue since they
would have more experiences with the issue through personnel accounts or observing their
peers. The second part collects information on compassion fatigue experiences to include
the past number of incidences, how they responded and how they coped. The third part will
collect information on how the participants’ perceive the change project in terms of
effectiveness as either a standalone project or in comparison to other interventions
(Hinderer et al., 2014) Change Implementation, Evaluation And Sustainability Essay
Paper.The participants will be expected to complete the questionnaire at the beginning and
end of the change project. This implies that each participant will complete two copies of the
questionnaire. This is intended to evaluate the effects of the change project since any
differences noted in the participants’ responses will be attributed to the change as the
influencing variable. In addition, differences will be noted for the study and control groups
to verify if the intervention had an effect on compassion fatigue incidences. The
participating nurses are considered as the major source of information because they exhibit
more than average knowledge concerning the project’s objectives. The collected data would
then be subjected to statistical analysis to determine the significance of the relationship
between the variables. The results will be coalesced and thematically structured before
being reported to the stakeholders (who include nursing personnel, policy makers and
medical facility managers) using figures and charts that quantitatively and comparatively
illustrate the effects of the intervention as applied (Mackey & Gass, 2015).SustainabilityAt
the conclusion of the change project, the decision on how to proceed will be dependent on
the project outcomes. Achieving the desired outcome will act as an indication that the
change project is effective and can be recommended for scale-up. On the other hand, should
the project fail to achieve the desired aim then it would be abandoned and considered an
ineffective intervention. For the results that indicate the desired outcome, the stakeholders
will be informed and convinced that the project should be scaled-up to involve other units
and medical facilities. The specific modalities will entail recruiting a larger management
team who will be engaged for the long term (unlike the change project management team
4. that is only engaged for the duration of the project). To ensure that the project becomes a
permanent endeavor, the stakeholders will be convinced to buy into the change for all the
three phases of planning, implementation and reporting with consistent oversight at every
phase (Mackey & Gass, 2015) Change Implementation, Evaluation And Sustainability Essay
Paper.ReferencesBoyle, D. (2011). Countering compassion fatigue: a requisite nursing
agenda. Online Journal of Issues in Nursing, 16(1), Manuscript 2. DOI:
10.3912/OJIN.Vol16no01Man0Fulton, J., Lyon, B. & Goudreau, K. (2014). Foundations of
clinical nurse specialist practice (2nd ed.). New York, NY: Springer Publishing Company,
LLC.Hinderer, K., vonRueden, K., Friedman, E., McQuillan, K., Gilmore, R., Kramer, B. &
Murray, M. (2014). Burnout, compassion fatigue, compassion satisfaction, and secondary
traumatic stress in trauma nurses. Journal of Trauma Nursing, 21(4), 159-169 Change
Implementation, Evaluation And Sustainability Essay PaperJohn Hopkins Medicine (2018).
Evidence-based practice. Retrieved from
http://www.hopkinsmedicine.org/institute_nursing/continuing_education/evidence_based
_practice.htmlMackey, A. & Gass, S. (2015). Second language research: methodology and
design. London: Routledge.Potter, P., Deshields, T., Berger, J., Clarke, M., Olsen, S. & Chen, L.
(2013). Evaluation of a compassion fatigue resiliency program for oncology nurses.
Oncology Nursing Forum, 40(2), 180-187.Ray, S. L., Wong, C., White, D. & Heaslip, K. (2013).
Compassion satisfaction, compassion fatigue, work life conditions, and burnout among
frontline mental health care professionals. Traumatology, 19(4), 255-267. DOI:
10.1177/1534765612471144You will utilize your change model for this assignment.
Evaluate the performance of your surgical department. The procedure adopted for the
program will be conducted in over three steps. Firstly, the projected management team will
be appointed. Secondly, the tools to be applied in the program will be collected to include
the questionnaire, training material, counseling and mentorship strategies. Thirdly, the
nurses will be recruited into the study and control groups. The study group will involve
targeted training, counseling and mentor ship. Finally, the nurses will be subjected to the
questionnaires with the results coalesced and presented in tables and figures for easy
comparison. This is the change model from the previous paper order #202801 that needs to
be continued AS; Implementation, Evaluation & Sustainability. Please I would choose our
surgical units where the gunshot / motor vehicle accidents patients are transferred to after
being stabilized at the trauma unit. THE IDENTIFIED AREA IS THE SURGICAL UNIT / HAVE
TO CONTINUE WITH THE COMPASSION FATIGUE on IMPLEMENTATION Evaluation &
Sustainability of Compassion Fatigue and not pain management. Identify an area that would
significantly benefit from initiating a change. Write a paper (1,500-1,750 words) in which
you describe the particular area you propose to address through a change initiative. Include
the following for your company: Discuss the issues in this area and the current outcomes as
a result of the issues. Describe the external and/or internal driving forces, contributing
issues, and the people affected. Evaluate the stakeholders involved and discuss how they
will be affected by your change initiative. Clarify your role and responsibility as a change
leader. Discuss the leadership theory (or theories) you will use to guide the change process.
Discuss the change agents you need to recruit in order to successfully Implement your
change. Describe the roles of these change agents. Utilize your change model to develop
5. strategies: (a) Explain the relevance of this model to your organization; and (b) Present the
strategic aspects using your model. Be sure to clearly define the purpose of each aspect, the
people involved, and the actions that need to be taken. Identify, or predict, the potential
barriers to change. Discuss possible ways to overcome these obstacles, including methods
for dealing with emerging or unforeseen circumstances that could impede implementation.
Describe the evaluation methods you will use to determine the level of success of your
change initiative. Discuss what metrics or measurable determinates you will use. Propose
strategies to anchor change or support continuous change. Establish how your change plan
supports the organizational mission/goal, genuinely addresses stakeholder concerns, and
will serve as an equitable contribution for the community or society overall.AT LEAST Five
REFERENCES needed Description of the Change Model used (This is from the graded paper)
2 change models (JHNH / ADKAR) John Hopkins Nursing (JHNM) was used as a foundation
to create a change model that was designed to reduce compassion fatigue for nurses. For
the current targeted nursing population JHNM was deemed appropriate because it was
adopted by nursing facilities (John Hopkins Medicine, 2015). The ADKAR model was simple
to learn and focused on actions and outcomes required for change (Connally, 2018). These
two models were modified as follows: • Procedure changed to align with problem and
population. • Timeline changed to facilitate timely solution. • Added estimated effectiveness
and achievement ratio Change Implementation, Evaluation And Sustainability Essay
Paper.ORDER YOUR PAPER HERE1,500–1750 words Implementation, Evaluation, and
Sustainability You will utilize your change model for this assignment. Evaluate the
performance of your surgical department.The procedure adopted for the program will be
conducted in over three steps. Firstly, the projected management team will be appointed.
Secondly, the tools to be applied in the program will be collected to include the
questionnaire, training material, counseling and mentorship strategies. Thirdly, the nurses
will be recruited into the study and control groups. The study group will involve targeted
training, counseling and mentorship. Finally, the nurses will be subjected to the
questionnaires with the results coalesced and presented in tables and figures for easy
comparison. This is the change model from the previous paper order #202801 that needs
to be continued AS; Implementation, Evaluation & Sustainability. Please I would choose our
surgical units where the gunshot / motor vehicle accidents patients are transferred to after
being stabilized at the trauma unit. THE IDENTIFIED AREA IS THE SURGICAL UNIT / HAVE
TO CONTINUE WITH THE COMPASSION FATIGUE on IMPLEMENTAION Evaluation &
Sustainability of Compassion Fatigue and not pain management. Identify an area that would
significantly benefit from initiating a change. Write a paper (1,500-1,750 words) in which
you describe the particular area you propose to address through a change initiative. Include
the following for your company: Discuss the issues in this area and the current outcomes as
a result of the issues. Describe the external and/or internal driving forces, contributing
issues, and the people affected. Evaluate the stakeholders involved and discuss how they
will be affected by your change initiative. Clarify your role and responsibility as a change
leader. Discuss the leadership theory (or theories) you will use to guide the change process.
Discuss the change agents you need to recruit in order to successfully Implement your
change. Describe the roles of these change agents. Utilize your change model to develop
6. strategies: Change Implementation, Evaluation And Sustainability Essay Paper (a) Explain
the relevance of this model to your organization; and (b) Present the strategic aspects using
your model. Be sure to clearly define the purpose of each aspect, the people involved, and
the actions that need to be taken. Identify, or predict, the potential barriers to change.
Discuss possible ways to overcome these obstacles, including methods for dealing with
emerging or unforeseen circumstances that could impede implementation. Describe the
evaluation methods you will use to determine the level of success of your change initiative.
Discuss what metrics or measurable determinates you will use. Propose strategies to
anchor change or support continuous change. Establish how your change plan supports the
organizational mission/goal, genuinely addresses stakeholder concerns, and will serve as
an equitable contribution for the community or society overall.AT LEAST Five REFERENCES
neededDescription of the Change Model used (This is from the graded paper) 2 change
models (JHNH / ADKAR)John Hopkins Nursing (JHNM) was used as a foundation to create a
change model that was designed to reduce compassion fatigue for nurses. For the current
targeted nursing population JHNM was deemed appropriate because it was adopted by
nursing facilities (John Hopkins Medicine, 2015). The ADKAR model was simple to learn and
focused on actions and outcomes required for change (Connally, 2018). These two models
were modified as follows:Procedure changed to align with problem and
population.Timeline changed to facilitate timely solution.Added estimated effectiveness and
achievement ratio.Change Implementation, Evaluation And Sustainability Essay Paper
