The document provides feedback on a learner's assignment submission. It notes that the submission contained plagiarized material according to a plagiarism check. It recommends that the learner cite sources frequently, paraphrase text, and ensure citations are included in future assignments to avoid plagiarism issues. The feedback encourages the learner to continue their work on the assignment and references APA style guidelines. It looks forward to reviewing the learner's continued progress.
Nursing Challenges in Transitional Care Research.pdfbkbk37
The document discusses challenges in transitional care nursing. It identifies that lack of specialized nursing intervention causes issues like high rates of elderly patient readmission and improper care transitions between medical settings. Poor communication during care handoffs and lack of education for caregivers on how to care for patients at home can result in health declines. The problem is significant for nursing as it raises awareness of weaknesses in providing continuity of care during transitions and ensuring quality care movements within hospitals. Specializing in transitional care nursing could help address these challenges.
Running head SAFETY OF ELDERLY PATIENTS IN HOME HEALTH CARE 1.docxcharisellington63520
This document discusses obesity rates in Latino communities in Miami-Dade County. It notes that Latino communities have higher rates of obesity due to factors like food insecurity, limited access to safe places for physical activity, and targeted marketing of unhealthy foods. To address this issue, the Consortium for a Healthier Miami-Dade holds community health fairs that provide education on healthy eating and exercise to Latino parents, with the goal of reducing childhood obesity rates. These fairs help underserved communities access preventative healthcare services and screenings. They also spark conversations that can encourage lifestyle changes to address high obesity rates.
Improving the resilience of vulnerable populationsArete-Zoe, LLC
Vulnerable populations in terms of health care disparities include the economically disadvantaged and uninsured, the elderly, and people with chronic health conditions. Low-education status compounds the problem and leads to poorer outcomes than in people with the same disease but higher educational status. Significant disparities include namely risk factors relating to morbidity and mortality and access to healthcare. In the domain of physical health, the worst affected are people with chronic health conditions such as respiratory diseases and metabolic syndrome, including hyperlipidemia and diabetes, and resulting in heart diseases and hypertension. Vulnerable populations often experience accumulation of problems that are multiplied by poor health, yet the medical and non-medical needs of these populations are still underestimated. A significant number of vulnerable people with at least one chronic condition skip purchasing prescription drugs because of the costs involved. The most relevant risk factors that result in poor access to health care include low income and uninsured status, in combination with a lack of regular care. Chronic conditions such as dyslipidemia may not be particularly apparent now, yet represent a high risk of future disability (“Vulnerable Populations: Who Are They?”, 2006).
practice issue that would benefit from utilizing a mixed methods.pdfsdfghj21
This document discusses a proposed mixed methods study to examine challenges in transitional care. The study would involve observing the admission and discharge processes of elderly patients between hospitals, nursing homes, and home care. Both qualitative and quantitative data would be collected through participant observation, open-ended conversations with patients and caregivers, and semi-structured interviews with nursing leaders. The mixed methods approach would allow the qualitative data to provide context and explanations for the quantitative results. The goal is to better understand transitional care challenges and improve quality of care.
practice issue that would benefit from utilizing a mixed methods.pdfsdfghj21
This document discusses a proposed mixed methods study to examine challenges in transitional care. The study would involve observing the admission and discharge processes of elderly patients between hospitals, nursing homes, and home care. Both qualitative and quantitative data would be collected through participant observation, open-ended conversations with patients and caregivers, and semi-structured interviews with nursing leaders. The mixed methods approach would allow the qualitative data to provide context and explanations for the quantitative results. The goal is to better understand transitional care challenges and improve quality of care.
Roles and Responsibilities of a Nurse.Some patients may be unabl.docxdaniely50
Roles and Responsibilities of a Nurse.
Some patients may be unable to cater to their medical bills due to long hospital stays, humble backgrounds, or unexpectedly high medical bills. In such a situation the nurse in charge is likely to notice the reason, this could be the patient’s overstay at the hospital even after they have been discharged, the patient may as well make several phone calls asking for financial assistance from relatives and friends or the patient might ask if it is possible not to buy some of the drugs prescribed since they are expensive. In this case, the nurse will suspect the financial difficulty that the patient is facing and therefore do their research on the patient’s background information. Financial and social information is key in determining the patient’s situation. The nurse, therefore, calls the department in charge of social work in the hospital to inquire more about the patient’s information and the reason behind their difficulty in their clearance of the hospital bill. This information will determine by what process the patient will be assisted concerning their bill. For some patients, the hospital bill may just have exceeded their budget by some amount and for such a situation the patient is asked to pay what they have and then the rest of the bill is waived while for some patients they cannot completely pay their bill and may not have any medical cover. For such a situation the patient is waived fully.
The roles of the nurse in a primary healthcare are several. According to this case, the nurse is responsible for the assessment and planning of a nursing care requirements. These requirements may include ensuring that all the vital equipment are available in the ward, the emergency tray is well set, all the necessary drugs are available and that the ward is in a good condition at all times. Another responsibility of a nurse manager is the supervision of junior staff. These are like the nurses' intern, student nurses as well as the casual staff in the ward.
The nurse is also responsible for the patient’s welfare. This may include things like the patient’s financial status, the social background which will help in determining how to help the patient to cater to their bill. Health education is part of the nurse’s responsibility. It is the patients’ right to know their health status and how they can handle it and therefore the nurse has to educate
them on some of their health issues (Warshawsky et al., 2019).
During the delivery of nursing responsibilities, the nurse is likely to face some challenges such as excessive workload at the hospital due to the shortage of nurses which also causes longer working hours and fatigue at the hospital (Khoran et al., 2018). Another challenge is workplace hazards such as needle pricks, exposure to bloodborne pathogens, and even cold and flu. Another challenge is workplace violence in the workplace. This is common in the psychiatric institutions. How.
Effect of Nursing Shortage and Turnover on In-Patients
Running Head: PICOT STATEMENT PAPER 1
Effect of Nursing Shortage and Turnover on In-patients
Nursing shortage and turnover is a serious problem experienced in the United States of America (USA) and the world at large. Many states in the USA have inadequate nurses which end up impairing the quality of service given to the patients especially in-patients. The few nurses available cannot completely meet the needs of the patients especially those who critically needs total care and attention. The few nurses available are usually stressed and in a hurry trying to care for a high number of patients which is usually impossible. This situations adds stress to them and increase their chances of quitting the job. Nurses play a pivotal role in caring for these patients especially the ones admitted in long term acute care facilities (LTAC) since they continuously monitor the patients in critical conditions and provide necessary treatments and medicine to save the lives of the patients (Stone et al., 2006). There are various reasons which can be associated with the nurses' shortage and turnover and these include inadequate nursing educators, inequitable distribution of nurses, high turnover rate and aging workforce to name but a few. These problems can be solved by investing in the development of nurses to make them happy and well equipped with the knowledge and skills required to handle their tasks. This can be through training them regularly, giving them a chance to further their education as they work, paying them well and giving them appropriate compensations among other key strategies.
PICOT Statement
Considering the patients in long term care facilities, do effective investment in the development of nurses compared to the current standards of nurse staffing in the USA essential in improving the quality of care of the in-patients?
Clinical problem
The shortage and turnover of nurses is an issue that has raised a lot of concern as far as the health of the patients is concerned. This issue has resulted in long patients stay in hospitals, increased bloodstream infections and increased fatalities. The patients in acute long term care units require total attention and monitoring than any other patients requiring basic care. This is to ensure that their conditions are kept in control. In fact, one nurse should only handle three or four patients maximum because of the criticality of these patients. The inadequate of nurses in the section makes each nurse to handle more than five patients and this decreases the quality of care given to these patients and increases fatalities or longer stays. (Thompson et al., 2013). It is therefore vital for the government and healthcare departments to effectively invest in the development of nurses to increase their number, education, abilities, and motivation. There should .
Nursing Challenges in Transitional Care Research.pdfbkbk37
The document discusses challenges in transitional care nursing. It identifies that lack of specialized nursing intervention causes issues like high rates of elderly patient readmission and improper care transitions between medical settings. Poor communication during care handoffs and lack of education for caregivers on how to care for patients at home can result in health declines. The problem is significant for nursing as it raises awareness of weaknesses in providing continuity of care during transitions and ensuring quality care movements within hospitals. Specializing in transitional care nursing could help address these challenges.
Running head SAFETY OF ELDERLY PATIENTS IN HOME HEALTH CARE 1.docxcharisellington63520
This document discusses obesity rates in Latino communities in Miami-Dade County. It notes that Latino communities have higher rates of obesity due to factors like food insecurity, limited access to safe places for physical activity, and targeted marketing of unhealthy foods. To address this issue, the Consortium for a Healthier Miami-Dade holds community health fairs that provide education on healthy eating and exercise to Latino parents, with the goal of reducing childhood obesity rates. These fairs help underserved communities access preventative healthcare services and screenings. They also spark conversations that can encourage lifestyle changes to address high obesity rates.
Improving the resilience of vulnerable populationsArete-Zoe, LLC
Vulnerable populations in terms of health care disparities include the economically disadvantaged and uninsured, the elderly, and people with chronic health conditions. Low-education status compounds the problem and leads to poorer outcomes than in people with the same disease but higher educational status. Significant disparities include namely risk factors relating to morbidity and mortality and access to healthcare. In the domain of physical health, the worst affected are people with chronic health conditions such as respiratory diseases and metabolic syndrome, including hyperlipidemia and diabetes, and resulting in heart diseases and hypertension. Vulnerable populations often experience accumulation of problems that are multiplied by poor health, yet the medical and non-medical needs of these populations are still underestimated. A significant number of vulnerable people with at least one chronic condition skip purchasing prescription drugs because of the costs involved. The most relevant risk factors that result in poor access to health care include low income and uninsured status, in combination with a lack of regular care. Chronic conditions such as dyslipidemia may not be particularly apparent now, yet represent a high risk of future disability (“Vulnerable Populations: Who Are They?”, 2006).
practice issue that would benefit from utilizing a mixed methods.pdfsdfghj21
This document discusses a proposed mixed methods study to examine challenges in transitional care. The study would involve observing the admission and discharge processes of elderly patients between hospitals, nursing homes, and home care. Both qualitative and quantitative data would be collected through participant observation, open-ended conversations with patients and caregivers, and semi-structured interviews with nursing leaders. The mixed methods approach would allow the qualitative data to provide context and explanations for the quantitative results. The goal is to better understand transitional care challenges and improve quality of care.
practice issue that would benefit from utilizing a mixed methods.pdfsdfghj21
This document discusses a proposed mixed methods study to examine challenges in transitional care. The study would involve observing the admission and discharge processes of elderly patients between hospitals, nursing homes, and home care. Both qualitative and quantitative data would be collected through participant observation, open-ended conversations with patients and caregivers, and semi-structured interviews with nursing leaders. The mixed methods approach would allow the qualitative data to provide context and explanations for the quantitative results. The goal is to better understand transitional care challenges and improve quality of care.
Roles and Responsibilities of a Nurse.Some patients may be unabl.docxdaniely50
Roles and Responsibilities of a Nurse.
Some patients may be unable to cater to their medical bills due to long hospital stays, humble backgrounds, or unexpectedly high medical bills. In such a situation the nurse in charge is likely to notice the reason, this could be the patient’s overstay at the hospital even after they have been discharged, the patient may as well make several phone calls asking for financial assistance from relatives and friends or the patient might ask if it is possible not to buy some of the drugs prescribed since they are expensive. In this case, the nurse will suspect the financial difficulty that the patient is facing and therefore do their research on the patient’s background information. Financial and social information is key in determining the patient’s situation. The nurse, therefore, calls the department in charge of social work in the hospital to inquire more about the patient’s information and the reason behind their difficulty in their clearance of the hospital bill. This information will determine by what process the patient will be assisted concerning their bill. For some patients, the hospital bill may just have exceeded their budget by some amount and for such a situation the patient is asked to pay what they have and then the rest of the bill is waived while for some patients they cannot completely pay their bill and may not have any medical cover. For such a situation the patient is waived fully.
The roles of the nurse in a primary healthcare are several. According to this case, the nurse is responsible for the assessment and planning of a nursing care requirements. These requirements may include ensuring that all the vital equipment are available in the ward, the emergency tray is well set, all the necessary drugs are available and that the ward is in a good condition at all times. Another responsibility of a nurse manager is the supervision of junior staff. These are like the nurses' intern, student nurses as well as the casual staff in the ward.
The nurse is also responsible for the patient’s welfare. This may include things like the patient’s financial status, the social background which will help in determining how to help the patient to cater to their bill. Health education is part of the nurse’s responsibility. It is the patients’ right to know their health status and how they can handle it and therefore the nurse has to educate
them on some of their health issues (Warshawsky et al., 2019).
During the delivery of nursing responsibilities, the nurse is likely to face some challenges such as excessive workload at the hospital due to the shortage of nurses which also causes longer working hours and fatigue at the hospital (Khoran et al., 2018). Another challenge is workplace hazards such as needle pricks, exposure to bloodborne pathogens, and even cold and flu. Another challenge is workplace violence in the workplace. This is common in the psychiatric institutions. How.
Effect of Nursing Shortage and Turnover on In-Patients
Running Head: PICOT STATEMENT PAPER 1
Effect of Nursing Shortage and Turnover on In-patients
Nursing shortage and turnover is a serious problem experienced in the United States of America (USA) and the world at large. Many states in the USA have inadequate nurses which end up impairing the quality of service given to the patients especially in-patients. The few nurses available cannot completely meet the needs of the patients especially those who critically needs total care and attention. The few nurses available are usually stressed and in a hurry trying to care for a high number of patients which is usually impossible. This situations adds stress to them and increase their chances of quitting the job. Nurses play a pivotal role in caring for these patients especially the ones admitted in long term acute care facilities (LTAC) since they continuously monitor the patients in critical conditions and provide necessary treatments and medicine to save the lives of the patients (Stone et al., 2006). There are various reasons which can be associated with the nurses' shortage and turnover and these include inadequate nursing educators, inequitable distribution of nurses, high turnover rate and aging workforce to name but a few. These problems can be solved by investing in the development of nurses to make them happy and well equipped with the knowledge and skills required to handle their tasks. This can be through training them regularly, giving them a chance to further their education as they work, paying them well and giving them appropriate compensations among other key strategies.
PICOT Statement
Considering the patients in long term care facilities, do effective investment in the development of nurses compared to the current standards of nurse staffing in the USA essential in improving the quality of care of the in-patients?
Clinical problem
The shortage and turnover of nurses is an issue that has raised a lot of concern as far as the health of the patients is concerned. This issue has resulted in long patients stay in hospitals, increased bloodstream infections and increased fatalities. The patients in acute long term care units require total attention and monitoring than any other patients requiring basic care. This is to ensure that their conditions are kept in control. In fact, one nurse should only handle three or four patients maximum because of the criticality of these patients. The inadequate of nurses in the section makes each nurse to handle more than five patients and this decreases the quality of care given to these patients and increases fatalities or longer stays. (Thompson et al., 2013). It is therefore vital for the government and healthcare departments to effectively invest in the development of nurses to increase their number, education, abilities, and motivation. There should .
2Nursing Staff Shortage in HealthcareRuta Arefaine.docxrobert345678
2
Nursing Staff Shortage in Healthcare
Ruta Arefaine
Oak Point University
NUR 4642: Professional Role Transition
Professor Josette Cabatingan-Oribello
Nursing Shortage
The shortage in the nursing profession has been an issue for over several years. Especially following COVID-19 suddenly gotten worse. St. Mary Elizabeth Hospital is no exception to this growing issue. Nurses make up the majority of medical practitioners and are essential to the industry. There remains a demand for more skilled educators in the perioperative environment and less even workforce distribution. Many serious factors cause the lack of nurses. As the age increases, there is a greater necessity for medical coverage. The authenticity is that, instead of taking just one illness, senior adults typically have illnesses and founders that necessitate professional care. Overall, individuals exist lengthier, a growing ultimatum for well-being care. Many chronic illnesses that were previously fatal are now treatable (Mar et al., 2019). The baby boom generation is still at a stage where they might need more medical attention as society ages. Today, more incredible Americans than ever previously time in history are above the age of 65.
According to Haddad et al. (2022, disclosed Nursing employment is anticipated to increase by 6% during the following ten years, according to the Bureau of Labor Statistics Number Of simulations 2021–2031. The number of Nurses working in the profession is expected to rise by 195,400 from 3.1 million in 2021 to 3.3 million in 2031. When nurses retire, they get pension benefits and labor strength leave benefits which are prudently essential in the United States. More than 203,200 positions for Nursing professionals have become vacant in consecutive years. In addition, the nursing staff is shrinking. There are about one million nurse practitioners who are above 50. Thus, it shows that in ten to fifteen years, one in the workforce may be quitting. This figure includes medical faculties, which poses a unique problem since it necessitates training many more nurses with scarce assets. Constraints on admittance and a decline in the nursing practice's number of nurses can generate both results of a nursing faculty shortage.
Fewer students may register, and the curriculum's and the scholar's general superiority of education may worsen due to a condensed and forced facility. Some newly hired nurses find that the profession differs from what they had imagined after starting their jobs. Others might become employed for a while before giving up after getting overworked. The incidence of nurse burnout is tapering off after years of progressively increasing levels. Furthermore, the spectrum of the average income employee turnover, which spans between 8.8% to 37.0%, is determined by nursing discipline and locale (Rosseter, 2014). Enhancing nurses' labor conditions is insufficient. It is also essential to consider the caliber of nursing knowledge prov.
1
5
Research Outline
Student’s Name
Institutional Affiliation
Professor’s Name
Course
Due Date
Introduction
This paper aims to discuss a problem in the healthcare system and the possible solutions to solve the problem. Critical healthcare problems impact healthcare facilities in the United States, which stimulates procedures to please the contending necessity to provide reasonable standard care and nursing staff who offers the services. This paper aims to define the strategies and policies to discourse the contending necessity of providing safe and standard care to the sick and the needs of the workers who provide the services. The paper also outlines an issue in healthcare and any influence factors within the healthcare system.
Problem Identification
The healthcare institutions' major goal is to provide the target populations with standard, actual, and better patient care possible, but the healthcare providers scarcity impacts this aim's accomplishment. The rise of nurses’ scarcity influences medical care delivery to the sick and healthcare organizations' financial growth. Varying nurse-to-patient percentage compromises the provision of superior care, which impacts patients’ safety and outcomes.
Background
The nursing scarcity began in 1998 and not only continues but is to become worse. The root of the current shortage is three-fold; an inadequate supply of nurses, an elderly population, and an elderly employee. The baby boomers are going to their golden years. Between 2010 and 2030, one in every five individuals will be a pensioner. The internal sources of nursing scarcities comprise; increased obligation for unlicensed employees, long working periods, and remuneration problems.
Problem Analysis
The current research reveals that nursing shortage can be the contributing aspect that forces the medical providers to be allocated a large number of patients to a medical provider. The contending necessity of the medical care personnel is the main issue affecting the nursing shortage, which requires a practice set by the healthcare administrations while bearing in mind the inadequate resources to gratify the necessity (Friganović et al., 2019). Thus, there is a prerequisite for establishing a strategy that stabilizes medical care money-generating needs and the workforce's contending situations. Patients might benefit from the more outstanding care the nurses provide by achieving a balance of the necessities.
DMEP is a strategy that necessitates all medical care employees to report all errors planned at fostering comprehensive ethical procedures by having Medicare employees responsible for their operations for decreasing or eliminating clinical mistakes. Nurses’ shortage influences the effectiveness of DMEP because when the work of the nurse increases due to staff shortage, the risk of health blunders becomes inevitable, which often goes unreported.
Proposed Answers to Nursing Scarcity
Strategies to increase worker wellbeing include ...
1
5
Research Outline
Student’s Name
Institutional Affiliation
Professor’s Name
Course
Due Date
Introduction
This paper aims to discuss a problem in the healthcare system and the possible solutions to solve the problem. Critical healthcare problems impact healthcare facilities in the United States, which stimulates procedures to please the contending necessity to provide reasonable standard care and nursing staff who offers the services. This paper aims to define the strategies and policies to discourse the contending necessity of providing safe and standard care to the sick and the needs of the workers who provide the services. The paper also outlines an issue in healthcare and any influence factors within the healthcare system.
Problem Identification
The healthcare institutions' major goal is to provide the target populations with standard, actual, and better patient care possible, but the healthcare providers scarcity impacts this aim's accomplishment. The rise of nurses’ scarcity influences medical care delivery to the sick and healthcare organizations' financial growth. Varying nurse-to-patient percentage compromises the provision of superior care, which impacts patients’ safety and outcomes.
Background
The nursing scarcity began in 1998 and not only continues but is to become worse. The root of the current shortage is three-fold; an inadequate supply of nurses, an elderly population, and an elderly employee. The baby boomers are going to their golden years. Between 2010 and 2030, one in every five individuals will be a pensioner. The internal sources of nursing scarcities comprise; increased obligation for unlicensed employees, long working periods, and remuneration problems.
Problem Analysis
The current research reveals that nursing shortage can be the contributing aspect that forces the medical providers to be allocated a large number of patients to a medical provider. The contending necessity of the medical care personnel is the main issue affecting the nursing shortage, which requires a practice set by the healthcare administrations while bearing in mind the inadequate resources to gratify the necessity (Friganović et al., 2019). Thus, there is a prerequisite for establishing a strategy that stabilizes medical care money-generating needs and the workforce's contending situations. Patients might benefit from the more outstanding care the nurses provide by achieving a balance of the necessities.
DMEP is a strategy that necessitates all medical care employees to report all errors planned at fostering comprehensive ethical procedures by having Medicare employees responsible for their operations for decreasing or eliminating clinical mistakes. Nurses’ shortage influences the effectiveness of DMEP because when the work of the nurse increases due to staff shortage, the risk of health blunders becomes inevitable, which often goes unreported.
Proposed Answers to Nursing Scarcity
Strategies to increase worker wellbeing include ...
Progression of dementia in elderly patients nursing assignment help.docxwrite22
The document discusses how the progression of dementia in elderly patients affects the relationships of their informal caregivers in the UK. It finds that caregivers need additional knowledge on managing the illness and stress to prevent strained relationships. Assistive technology and case managers may help by improving access to specialists and easing the burden on caregivers and primary care physicians. Further study is needed to determine optimal teaching strategies for informal caregivers to meet their needs.
This document provides an overview of transitions of care, including definitions, models, and best practices. It describes transitions as the movement of patients between healthcare settings or providers. Poor transitions can lead to adverse outcomes for patients and increased costs. Several evidence-based models are described that aim to improve transitions through elements like medication reconciliation, discharge planning, and post-discharge follow up. These models have demonstrated reductions in readmissions and healthcare utilization. The document provides resources for additional information on improving the quality of patient transitions.
How the progression of dementia in elderly patients affect the familmilissaccm
How the progression of dementia in elderly patients affect the family relationships of informal carers in the UK
Abstract
The purpose of this research is to analyze the effects of dementia on informal carers' relationships with their loved ones. Understanding the demands placed on both the person with dementia and the person providing informal care is essential for meeting the needs of both parties. Many studies and institutions focus only on the needs of patients, rather than the needs of the informal carers. This study highlights the need and requirement of providing supplementary assistance to informal carers. The research analyzed and compared data from several sources in a systematic literature review to provide an answer to the question.
The findings indicated that in order to prevent strained relationships with their loved ones, carers need additional knowledge on how to manage the sickness and the stress brought on by the weight of the illness. We hypothesize that Assistive Technology might be useful for lowering healthcare costs by improving access to specialists in areas such as diagnosis, medication, and mental health treatment, as well as easing the burden on primary care physicians. Case managers may also keep track of patients and help family members all along the care pathway: they do this by collecting and sharing information with the different health professionals involved, in this specific instance the informal caregivers. In order to meet the needs of families dealing with dementia, further study is needed to determine whether certain teaching strategies for informal care providers could be optimal. Get your
nursing assignment
help today.
Table of Contents
Chapter 1: Introduction 4
References 5
Chapter 1: Introduction
Background
Dementia, as described by Duong et al. (2017), is a clinical illness characterized by gradual deterioration in cognitive abilities that eventually compromises an individual's capacity to carry out daily tasks without assistance. Dementia makes people more reliant on others, both emotionally and physically, as pointed out by Cunningham et al. (2015). According to Gale et al. (2018), primary neurologic, medical, and neuropsychiatric disorders all contribute to the development of dementia. Neurodegenerative dementias like Alzheimer disease and Lewy body dementia are very frequent among the elderly. According to the latest data, there were around 850,000 persons living with dementia in the UK in 2019. It was 1 in every 14 adults over the age of 65 (Alzheimer society, 2020).
Introduction
Alzheimer's disease and dementia are similar in that they both cause a slow but steady decline in mental capacity. Dementia patients' reliance on others for care grows as the disease progresses. As the frequency and intensity of symptoms rise, it becomes more difficult to go about everyday life and take part in social activities. Because of this, there may be instances when a person needs constant att ...
The document discusses the roles and responsibilities of a DNP-prepared nurse educator. It explores how a DNP nurse educator can teach both in academic and clinical settings while also bridging the gap between nursing education and practice. It then presents a PICOT question regarding the implementation of a diabetes self-management education program and examines strategies to address barriers to effective diabetes management.
The document discusses the roles and responsibilities of a DNP-prepared nurse educator. It compares the activities of an academic DNP nurse educator, who teaches graduate nursing students, to a clinical DNP nurse educator, who provides education in a healthcare setting. The document also proposes a case study involving implementing a Diabetes Self-Management Education and Support program to impact patients' fasting blood sugar and self-management skills over 8-10 weeks. Barriers to diabetes self-management are discussed, as well as strategies to address those barriers through various forms of patient education.
REPLY1For a long time health care was all about health care prof.docxchris293
REPLY1
For a long time health care was all about health care professionals taking control of a patients care, lacking involvement of the patient, which only enabled the patient once they were discharged from care. The last decade or so patients have been hearing the continuous message from health care professionals about getting involved in their care (Vahdat et al., 2014). Patients with chronic conditions should especially be taking control of their own health care, which includes taking medications properly and being on top of scheduling and attending appointments. I think what has changed mostly in patients having control of their own health care, is that health care professionals provide education and information to patients that uses involvement of health care professional and patient. This empowers patients to take control and see positive outcomes with their health. Doctors are known to be the point of contact of all the information, which is why I think for many years patients just had the health care professional take full control of their care because they had full trust in their knowledge and experience. Patients having control of their own health care is important when it comes to decision making about their health care. If the patient has always relies on health care professionals, they won’t have the knowledge of what decisions must be made to better their care (Flavo, 2011).
The biggest change I have seen with patients being able to have more control over their health care is patients now have full access to their own medical records which includes doctors notes, labs, and other results (Vahdat et al., 2014). Another reason why this change of patients having control of their health care has made an impact on medical costs according to a study in 2013. Patients who were encouraged to take control of their own health care were seen to have an overall of 5.3% lower medical costs, 12.5% fewer hospital admission and fewer elective surgeries (Vahdat et al., 2014). Of course, patient involvement is not new but it is becoming more of a necessity in the health care system. Overall, the best part about this change, is that empowers patients to stay healthy and have an easier access to their results and communication with their providers.
References
Falvo, D. (2011) Effective Patient Education: A guide to Increased Adherence. Retrieved from
REPLY2
The 21st Century Healthcare System has seen a shift from a paternalistic focus to a more collaborative approach with the health professional and the patient working together to plan the patient’s care. In the traditional health provider-patient relationship the physician is regarded as the authority figure with the knowledge and expertise having the sole responsibility for developing a treatment plan that was rarely challenged by the recipients. However, the healthcare system has evolved to give patients more autonomy to manage chronic conditions proactively and make informed decisions ab.
Trillium II /Focus workshop at Informatics for Health2017: Manchester, April 24-27, 2017
Frailty is an age-related state of vulnerability to the risk of adverse health out-comes after a stressor event. The condition predisposes individuals to progressive decline in different functional domains, leading to falls and fractures, disability and dependency on others, hospitalization, institutional placement and ultimately death. We discuss drivers, challenges and opportunities for healthcare information standards related to frailty in old age in an effort to launch a call for coordinated action across research, policy, and academia. Key issues are selected as the back-drop for this discussion: EHR, patient summaries and frailty in a context of coor-dinated care enabled by health IT standards.
Presentation 2 of 5 by Maria Magdalena Bujnowska-Fedak
Wroclaw Medical University, Poland
Care coordination synchronizes the delivery of a patient’s health care from multiple providers and specialists. The goals of coordinated care are to improve health outcomes by ensuring that care from disparate providers is not delivered in silos, and to help reduce health care costs by eliminating redundant tests and procedures.
Importance of Effective CommunicationCommunication is the corner.docxcharisellington63520
Importance of Effective Communication
Communication is the cornerstone of healthcare. Effective communication is not only critical to meeting patient needs and providing safe, high-quality, and patient-centered care, it is necessary to how we manage healthcare delivery (James Merlino, 2017). It means that positive patient outcomes have effective communication between the patient and health care providers. Adverse results are likely to have ineffective communication that negatively impacts the process. It is in this regard that effective communication comes into perspective if quality service is to be realized. Understanding the patient's cultural and social construction is essential hence promoting cultural competence through effective communication. People have varying beliefs and attitudes regarding various issues at societal and personal levels (Markova & Broome, 2007), and healthcare providers cannot ignore these in a healthcare setting.
Promoting Cultural Competence
An individual's beliefs and attitudes determine how the person views illness and treatment. It means that for patient-centered care to be effectively achieved, a healthcare provider must understand the patient's cultural influences. For example, some illnesses such as mental health issues may be considered a curse, which means that medical intervention may not be seen as a viable treatment procedure. Awareness of such a belief would help a health care provider understand why a patient or family member may be hesitant to follow through with medical treatment. Nurses and physicians play a significant role in the patient-centered service. Patient concerns, attitudes, and biases could hinder the process if healthcare professionals concerned lack effective communication. Such communication dictates letting the patient understand the entire treatment process and expected outcomes.
However, effective communication between the patient and healthcare provider also requires understanding the patient's cultural, social, and family aspects. Such awareness makes the patient-centered process more effective and achievable, ultimately offering quality care with positive patient outcomes. For example, understanding the patient and family attitude towards chronic illness would help institute the best treatment strategy that brings both the patient and family on board. Traditional medicine use may thus be used alongside conventional treatment to alleviate suffering.
Globalization and subsequent immigration have resulted in people from various cultures interacting in multiple circles (Brown et al., 2016), and the healthcare setting is one of these circles. Thus, cultural competence includes language competence, hence the importance of diversity among healthcare providers to communicate with patients from different cultures effectively. A healthcare process can result in adverse outcomes when there are barriers in the communication process. For example, a patient can receive emergency treat.
Patients' satisfaction towards doctors treatmentmustafa farooqi
This document provides an introduction, literature review, and proposed framework for a study on patient satisfaction towards doctor treatment at state hospitals in Multan, Pakistan. The study aims to examine if patients are satisfied with the healthcare process, doctor treatment and behavior, and information/communication. The conceptual framework identifies background variables, independent variables related to doctor treatment, and dependent variables of patient satisfaction. The literature review discusses several prior studies that examined factors influencing patient satisfaction like doctor competence, communication, and attitudes. The theoretical framework discusses social identity theory and satisfaction theory in understanding patient attitudes and expectations.
Patients' satisfaction towards doctors treatmentmustafa farooqi
The mood of the care recipient to see if the impression (expectations) of service are met by the patient may be defined as patient satisfaction. The current perspective on service efficiency tends to be that patient treatment meets public standards and requirements in terms of interpersonal support as well as professional assistance. (Hardy et al. 1996).
For various reasons, customer satisfactions in the healthcare industry have been investigated. First it was important to decide on the extent and the degree to which patient care seekers, the meeting of drugs criteria and the continuous use of these services have effect, satisfaction as a quality of service metric, as well as allowing doctors and health services to better appreciate and use the input of the patient. (Ong et al. 2000).
Consumer satisfaction with healthcare services is a multi-panel term that refers to the core facets of treatment and suppliers, while PS medical services with the quality enhancement systems from the patient context, full control of quality and the intended outcomes of services are considered to be of primary importance (Janicijevic et al. 2013).
The Pakistani health system is being changed somewhat and there are wonderful scope for applying standard of services to health care. Patients in Pakistan now have access to increased quality health care. Obviously, the staff and staff are the most important winners of a successful health care environment of every community sector framework (Bakari et al. 2019).
The medical clinic of today's study is the product of a long and complicated war of civilization to quantify produce and study and to give thought to the thoughtful (Fullman et al. 2017).
1) The document examines medical aliteracy among senior medical personnel in Akoko South West local government area of Ondo State, Nigeria. It finds that factors like ineffective supervision, low patient literacy, and lack of patient engagement can lead to medical aliteracy among senior personnel.
2) The study revealed an average level of aliteracy, with most personnel receiving medical journals annually and reading them often. The majority had reading rooms at home. Reading rates were average. Personnel preferred reading anytime and topics like surgery, physiology and pathology.
3) All personnel enjoyed reading about medical breakthroughs and other areas aside their specialty. Most interests were in public medicine and surgery. The study found no gender differences in
Care Coordination PresentationCare Coordination PresenTawnaDelatorrejs
- Care coordination is an essential nursing practice that employs nurses to improve communication between patients, families and the healthcare team for safer patient care.
- Nurses design effective care plans to improve health outcomes and coordinate care among the team and other stakeholders.
- The presentation aims to raise nurses' understanding of care coordination principles and ethical decision-making while implementing patient-centered strategies.
Peers Response to --- How do you see current trends and changes in.docxkarlhennesey
Peers Response to --- How do you see current trends and changes in healthcare models impacting the delivery of healthcare? Consider the impact of these trends on your own practice setting. Also consider how these trends and changes have impacted your own leadership style or your supervisor’s leadership style.
Taimi Dudley posted Subscribe
My name is Taimi (pronounced ty-mee). I have worked as a registered nurse with an associate of science degree for over 24 years. Across these years, I have practiced nursing in the states of New Jersey, Pennsylvania, and my home state of Massachusetts, to which I returned two years ago. When I graduated from a hospital-based nursing program, I took a job as a Post-Acute/Rehab Care staff nurse. After two years as a staff nurse, I was promoted to a clinical management position in a Post-Acute Care (PAC) facility. Since then, I have worked in a variety of milieus, including both free-standing and hospital-based facilities and served as a corporate nurse, a traveling nurse, and a private consultant. My nursing specialty has grown exponentially over the years. My role now encompasses reporting to many governmental agencies, on both a state and federal level, and most recently, I am involved in mandated Quarterly Reporting Program (SNF QRP). I am currently working as a Regional Clinical Reimbursement Specialist for a major Post-Acute Care Company.
I have been in the healthcare field since I was a junior in high school, working as a candy striper, certified nursing assistant, and home health aide before becoming an RN. So, I have been both exposed to and used critical thinking for a lot of years. Nevertheless, I am excited to broaden my understanding, experience, and critical thinking skills with new and fresh information on the best practices approach of nurse leaders in today's healthcare environment.
How do you see current trends and changes in healthcare models impacting the delivery of healthcare? In the recent past, the fee for service healthcare trend generated money through the volume of patients or census levels and viewed the patient as a source of revenue. Whereas, the new trend of value-based healthcare has changed healthcare, particularly in my industry of post-acute care. Our patients have now become an expense versus a source of revenue. This change has made it necessary for different types of healthcare providers to stop working in silos and instead communicate and collaborate with care providers across the continuum. Each provider will need to leverage each other’s strengths to provide the best possible outcomes for the patient. Also, with this new value-based payment model system, providers, and doctor’s need to begin to see cradle to grave care within a fixed premium payment.
What is the impact of these trends on your own practice? These emerging trends are having an impact on my industry by implementing electronic medical records (EMR), nurses now char ...
An Education Change Project To Improve Pharmacy And Nursing CollaborationDereck Downing
This document summarizes an evidence-based benchmark project that aims to improve communication and collaboration between nursing and pharmacy staff at a Veterans Affairs hospital. The project was proposed in response to issues with untimely delivery of medications from the pharmacy to nurses. A literature review found support for interprofessional education programs in improving understanding between professions. The goals of the project are to enhance understanding of roles, improve relationships, and ensure timely medication delivery according to hospital policy. Outcomes will be evaluated by tracking missed medication requests before and after the educational program. The project requires support from nursing and pharmacy managers but aims to benefit patient care through better collaboration between the departments.
I need a response to the following peers PEER 1 . My nakarinorchard1
I need a response to the following peers:
PEER 1 .
My name is ---------- I have been practicing nursing for many years. What I have come to recognize through experience is that what people or even literature consider to be a preserve for advanced practice is essentially what is demanded in everyday nursing practice to offer comprehensive and quality care. This demand has been accelerated by the changing dynamics and demands in health care include an increase in population that also cause increase in primary and other healthcare services, inefficient healthcare, rise of chronic conditions, high costs of care, knowledgeable population demanding better care, and prolonged lifespan that is creating a high population of aged people with chronic ailments (Hillb & Parkera, 2017).
To address the emerging issues, nurses must have the ability to tackle complex cases through complex decision-making spanning across the many system levels from clinical to organizational to political level, serve in leadership and consultancy capacity, support innovation and promote evidence-based practice. They should also be able to collaborate with other healthcare professions and to navigate the intricacies of the current healthcare system to offer the best care possible. These are the roles of an advanced practice nurse role that affords them greater control when providing direct and indirect clinical care. They can only be executed by acquiring an advanced practice major. As Hillb and Parkera (2017) notes, advanced practice nurses undertake advanced degrees enabling the acquisition of clinical competencies, complex decision making skills, and expert knowledge based for expanded practice to enable them practice nursing at a high level. I believe that is why I chose an advanced practice major.
The role of FNPs as is the case of most NPs in primary care has become apparent. As …highlights, this is in terms of providing primary care services in remote/rural areas, providing primary care practices equal to the standards of physicians and meeting the high demand of primary care services from the general population attributed to strides in universal coverage (Barnes, Richards, McHugh, & Martsolf, 2018). EBP is a key driver of improved patient outcomes by helping come up with the most current, best working interventions. Nonetheless, it is not a standalone factor; it must be supported by proper leadership, collaboration, scholarship, resources, organizational culture and cost effectiveness. In addition to this, FNPs should have traits for successful NPs. These include emotional stability, problem solving skills, interpersonal skills, attention to details, tenacity and having a mind of inquiry. Woo, Lee and Tam (2017) research shows that allowing advanced nurses, including FNPs more control over providing direct care to maximize on them result in better quality of care, coordination of care and clinical outcomes.
Peer 2.
The health of the population is the mos ...
please read the attached file cearfully before telling me you can do.docxChereCheek752
please read the attached file cearfully before telling me you can do it.
I need a complete
power
point presentation (that incloud outlines and pictures) that pointing
3 main points
on the
topic
that is mentioned in the attached file + the speech for the slides that must be 5-7 min lon.
.
please read my post carefully.then place handshakei have the wor.docxChereCheek752
please read my post carefully.then place handshake
i have the work already but i want u do
introduction, background, and conclusion
for it.
and some changes on the paper that already written.
you just need to
add three pages on my paper
.
deadline 20-24 hours.
i attached my paper,
.
More Related Content
Similar to Feedback for learner53021, 1016 PMThank you for your submis
2Nursing Staff Shortage in HealthcareRuta Arefaine.docxrobert345678
2
Nursing Staff Shortage in Healthcare
Ruta Arefaine
Oak Point University
NUR 4642: Professional Role Transition
Professor Josette Cabatingan-Oribello
Nursing Shortage
The shortage in the nursing profession has been an issue for over several years. Especially following COVID-19 suddenly gotten worse. St. Mary Elizabeth Hospital is no exception to this growing issue. Nurses make up the majority of medical practitioners and are essential to the industry. There remains a demand for more skilled educators in the perioperative environment and less even workforce distribution. Many serious factors cause the lack of nurses. As the age increases, there is a greater necessity for medical coverage. The authenticity is that, instead of taking just one illness, senior adults typically have illnesses and founders that necessitate professional care. Overall, individuals exist lengthier, a growing ultimatum for well-being care. Many chronic illnesses that were previously fatal are now treatable (Mar et al., 2019). The baby boom generation is still at a stage where they might need more medical attention as society ages. Today, more incredible Americans than ever previously time in history are above the age of 65.
According to Haddad et al. (2022, disclosed Nursing employment is anticipated to increase by 6% during the following ten years, according to the Bureau of Labor Statistics Number Of simulations 2021–2031. The number of Nurses working in the profession is expected to rise by 195,400 from 3.1 million in 2021 to 3.3 million in 2031. When nurses retire, they get pension benefits and labor strength leave benefits which are prudently essential in the United States. More than 203,200 positions for Nursing professionals have become vacant in consecutive years. In addition, the nursing staff is shrinking. There are about one million nurse practitioners who are above 50. Thus, it shows that in ten to fifteen years, one in the workforce may be quitting. This figure includes medical faculties, which poses a unique problem since it necessitates training many more nurses with scarce assets. Constraints on admittance and a decline in the nursing practice's number of nurses can generate both results of a nursing faculty shortage.
Fewer students may register, and the curriculum's and the scholar's general superiority of education may worsen due to a condensed and forced facility. Some newly hired nurses find that the profession differs from what they had imagined after starting their jobs. Others might become employed for a while before giving up after getting overworked. The incidence of nurse burnout is tapering off after years of progressively increasing levels. Furthermore, the spectrum of the average income employee turnover, which spans between 8.8% to 37.0%, is determined by nursing discipline and locale (Rosseter, 2014). Enhancing nurses' labor conditions is insufficient. It is also essential to consider the caliber of nursing knowledge prov.
1
5
Research Outline
Student’s Name
Institutional Affiliation
Professor’s Name
Course
Due Date
Introduction
This paper aims to discuss a problem in the healthcare system and the possible solutions to solve the problem. Critical healthcare problems impact healthcare facilities in the United States, which stimulates procedures to please the contending necessity to provide reasonable standard care and nursing staff who offers the services. This paper aims to define the strategies and policies to discourse the contending necessity of providing safe and standard care to the sick and the needs of the workers who provide the services. The paper also outlines an issue in healthcare and any influence factors within the healthcare system.
Problem Identification
The healthcare institutions' major goal is to provide the target populations with standard, actual, and better patient care possible, but the healthcare providers scarcity impacts this aim's accomplishment. The rise of nurses’ scarcity influences medical care delivery to the sick and healthcare organizations' financial growth. Varying nurse-to-patient percentage compromises the provision of superior care, which impacts patients’ safety and outcomes.
Background
The nursing scarcity began in 1998 and not only continues but is to become worse. The root of the current shortage is three-fold; an inadequate supply of nurses, an elderly population, and an elderly employee. The baby boomers are going to their golden years. Between 2010 and 2030, one in every five individuals will be a pensioner. The internal sources of nursing scarcities comprise; increased obligation for unlicensed employees, long working periods, and remuneration problems.
Problem Analysis
The current research reveals that nursing shortage can be the contributing aspect that forces the medical providers to be allocated a large number of patients to a medical provider. The contending necessity of the medical care personnel is the main issue affecting the nursing shortage, which requires a practice set by the healthcare administrations while bearing in mind the inadequate resources to gratify the necessity (Friganović et al., 2019). Thus, there is a prerequisite for establishing a strategy that stabilizes medical care money-generating needs and the workforce's contending situations. Patients might benefit from the more outstanding care the nurses provide by achieving a balance of the necessities.
DMEP is a strategy that necessitates all medical care employees to report all errors planned at fostering comprehensive ethical procedures by having Medicare employees responsible for their operations for decreasing or eliminating clinical mistakes. Nurses’ shortage influences the effectiveness of DMEP because when the work of the nurse increases due to staff shortage, the risk of health blunders becomes inevitable, which often goes unreported.
Proposed Answers to Nursing Scarcity
Strategies to increase worker wellbeing include ...
1
5
Research Outline
Student’s Name
Institutional Affiliation
Professor’s Name
Course
Due Date
Introduction
This paper aims to discuss a problem in the healthcare system and the possible solutions to solve the problem. Critical healthcare problems impact healthcare facilities in the United States, which stimulates procedures to please the contending necessity to provide reasonable standard care and nursing staff who offers the services. This paper aims to define the strategies and policies to discourse the contending necessity of providing safe and standard care to the sick and the needs of the workers who provide the services. The paper also outlines an issue in healthcare and any influence factors within the healthcare system.
Problem Identification
The healthcare institutions' major goal is to provide the target populations with standard, actual, and better patient care possible, but the healthcare providers scarcity impacts this aim's accomplishment. The rise of nurses’ scarcity influences medical care delivery to the sick and healthcare organizations' financial growth. Varying nurse-to-patient percentage compromises the provision of superior care, which impacts patients’ safety and outcomes.
Background
The nursing scarcity began in 1998 and not only continues but is to become worse. The root of the current shortage is three-fold; an inadequate supply of nurses, an elderly population, and an elderly employee. The baby boomers are going to their golden years. Between 2010 and 2030, one in every five individuals will be a pensioner. The internal sources of nursing scarcities comprise; increased obligation for unlicensed employees, long working periods, and remuneration problems.
Problem Analysis
The current research reveals that nursing shortage can be the contributing aspect that forces the medical providers to be allocated a large number of patients to a medical provider. The contending necessity of the medical care personnel is the main issue affecting the nursing shortage, which requires a practice set by the healthcare administrations while bearing in mind the inadequate resources to gratify the necessity (Friganović et al., 2019). Thus, there is a prerequisite for establishing a strategy that stabilizes medical care money-generating needs and the workforce's contending situations. Patients might benefit from the more outstanding care the nurses provide by achieving a balance of the necessities.
DMEP is a strategy that necessitates all medical care employees to report all errors planned at fostering comprehensive ethical procedures by having Medicare employees responsible for their operations for decreasing or eliminating clinical mistakes. Nurses’ shortage influences the effectiveness of DMEP because when the work of the nurse increases due to staff shortage, the risk of health blunders becomes inevitable, which often goes unreported.
Proposed Answers to Nursing Scarcity
Strategies to increase worker wellbeing include ...
Progression of dementia in elderly patients nursing assignment help.docxwrite22
The document discusses how the progression of dementia in elderly patients affects the relationships of their informal caregivers in the UK. It finds that caregivers need additional knowledge on managing the illness and stress to prevent strained relationships. Assistive technology and case managers may help by improving access to specialists and easing the burden on caregivers and primary care physicians. Further study is needed to determine optimal teaching strategies for informal caregivers to meet their needs.
This document provides an overview of transitions of care, including definitions, models, and best practices. It describes transitions as the movement of patients between healthcare settings or providers. Poor transitions can lead to adverse outcomes for patients and increased costs. Several evidence-based models are described that aim to improve transitions through elements like medication reconciliation, discharge planning, and post-discharge follow up. These models have demonstrated reductions in readmissions and healthcare utilization. The document provides resources for additional information on improving the quality of patient transitions.
How the progression of dementia in elderly patients affect the familmilissaccm
How the progression of dementia in elderly patients affect the family relationships of informal carers in the UK
Abstract
The purpose of this research is to analyze the effects of dementia on informal carers' relationships with their loved ones. Understanding the demands placed on both the person with dementia and the person providing informal care is essential for meeting the needs of both parties. Many studies and institutions focus only on the needs of patients, rather than the needs of the informal carers. This study highlights the need and requirement of providing supplementary assistance to informal carers. The research analyzed and compared data from several sources in a systematic literature review to provide an answer to the question.
The findings indicated that in order to prevent strained relationships with their loved ones, carers need additional knowledge on how to manage the sickness and the stress brought on by the weight of the illness. We hypothesize that Assistive Technology might be useful for lowering healthcare costs by improving access to specialists in areas such as diagnosis, medication, and mental health treatment, as well as easing the burden on primary care physicians. Case managers may also keep track of patients and help family members all along the care pathway: they do this by collecting and sharing information with the different health professionals involved, in this specific instance the informal caregivers. In order to meet the needs of families dealing with dementia, further study is needed to determine whether certain teaching strategies for informal care providers could be optimal. Get your
nursing assignment
help today.
Table of Contents
Chapter 1: Introduction 4
References 5
Chapter 1: Introduction
Background
Dementia, as described by Duong et al. (2017), is a clinical illness characterized by gradual deterioration in cognitive abilities that eventually compromises an individual's capacity to carry out daily tasks without assistance. Dementia makes people more reliant on others, both emotionally and physically, as pointed out by Cunningham et al. (2015). According to Gale et al. (2018), primary neurologic, medical, and neuropsychiatric disorders all contribute to the development of dementia. Neurodegenerative dementias like Alzheimer disease and Lewy body dementia are very frequent among the elderly. According to the latest data, there were around 850,000 persons living with dementia in the UK in 2019. It was 1 in every 14 adults over the age of 65 (Alzheimer society, 2020).
Introduction
Alzheimer's disease and dementia are similar in that they both cause a slow but steady decline in mental capacity. Dementia patients' reliance on others for care grows as the disease progresses. As the frequency and intensity of symptoms rise, it becomes more difficult to go about everyday life and take part in social activities. Because of this, there may be instances when a person needs constant att ...
The document discusses the roles and responsibilities of a DNP-prepared nurse educator. It explores how a DNP nurse educator can teach both in academic and clinical settings while also bridging the gap between nursing education and practice. It then presents a PICOT question regarding the implementation of a diabetes self-management education program and examines strategies to address barriers to effective diabetes management.
The document discusses the roles and responsibilities of a DNP-prepared nurse educator. It compares the activities of an academic DNP nurse educator, who teaches graduate nursing students, to a clinical DNP nurse educator, who provides education in a healthcare setting. The document also proposes a case study involving implementing a Diabetes Self-Management Education and Support program to impact patients' fasting blood sugar and self-management skills over 8-10 weeks. Barriers to diabetes self-management are discussed, as well as strategies to address those barriers through various forms of patient education.
REPLY1For a long time health care was all about health care prof.docxchris293
REPLY1
For a long time health care was all about health care professionals taking control of a patients care, lacking involvement of the patient, which only enabled the patient once they were discharged from care. The last decade or so patients have been hearing the continuous message from health care professionals about getting involved in their care (Vahdat et al., 2014). Patients with chronic conditions should especially be taking control of their own health care, which includes taking medications properly and being on top of scheduling and attending appointments. I think what has changed mostly in patients having control of their own health care, is that health care professionals provide education and information to patients that uses involvement of health care professional and patient. This empowers patients to take control and see positive outcomes with their health. Doctors are known to be the point of contact of all the information, which is why I think for many years patients just had the health care professional take full control of their care because they had full trust in their knowledge and experience. Patients having control of their own health care is important when it comes to decision making about their health care. If the patient has always relies on health care professionals, they won’t have the knowledge of what decisions must be made to better their care (Flavo, 2011).
The biggest change I have seen with patients being able to have more control over their health care is patients now have full access to their own medical records which includes doctors notes, labs, and other results (Vahdat et al., 2014). Another reason why this change of patients having control of their health care has made an impact on medical costs according to a study in 2013. Patients who were encouraged to take control of their own health care were seen to have an overall of 5.3% lower medical costs, 12.5% fewer hospital admission and fewer elective surgeries (Vahdat et al., 2014). Of course, patient involvement is not new but it is becoming more of a necessity in the health care system. Overall, the best part about this change, is that empowers patients to stay healthy and have an easier access to their results and communication with their providers.
References
Falvo, D. (2011) Effective Patient Education: A guide to Increased Adherence. Retrieved from
REPLY2
The 21st Century Healthcare System has seen a shift from a paternalistic focus to a more collaborative approach with the health professional and the patient working together to plan the patient’s care. In the traditional health provider-patient relationship the physician is regarded as the authority figure with the knowledge and expertise having the sole responsibility for developing a treatment plan that was rarely challenged by the recipients. However, the healthcare system has evolved to give patients more autonomy to manage chronic conditions proactively and make informed decisions ab.
Trillium II /Focus workshop at Informatics for Health2017: Manchester, April 24-27, 2017
Frailty is an age-related state of vulnerability to the risk of adverse health out-comes after a stressor event. The condition predisposes individuals to progressive decline in different functional domains, leading to falls and fractures, disability and dependency on others, hospitalization, institutional placement and ultimately death. We discuss drivers, challenges and opportunities for healthcare information standards related to frailty in old age in an effort to launch a call for coordinated action across research, policy, and academia. Key issues are selected as the back-drop for this discussion: EHR, patient summaries and frailty in a context of coor-dinated care enabled by health IT standards.
Presentation 2 of 5 by Maria Magdalena Bujnowska-Fedak
Wroclaw Medical University, Poland
Care coordination synchronizes the delivery of a patient’s health care from multiple providers and specialists. The goals of coordinated care are to improve health outcomes by ensuring that care from disparate providers is not delivered in silos, and to help reduce health care costs by eliminating redundant tests and procedures.
Importance of Effective CommunicationCommunication is the corner.docxcharisellington63520
Importance of Effective Communication
Communication is the cornerstone of healthcare. Effective communication is not only critical to meeting patient needs and providing safe, high-quality, and patient-centered care, it is necessary to how we manage healthcare delivery (James Merlino, 2017). It means that positive patient outcomes have effective communication between the patient and health care providers. Adverse results are likely to have ineffective communication that negatively impacts the process. It is in this regard that effective communication comes into perspective if quality service is to be realized. Understanding the patient's cultural and social construction is essential hence promoting cultural competence through effective communication. People have varying beliefs and attitudes regarding various issues at societal and personal levels (Markova & Broome, 2007), and healthcare providers cannot ignore these in a healthcare setting.
Promoting Cultural Competence
An individual's beliefs and attitudes determine how the person views illness and treatment. It means that for patient-centered care to be effectively achieved, a healthcare provider must understand the patient's cultural influences. For example, some illnesses such as mental health issues may be considered a curse, which means that medical intervention may not be seen as a viable treatment procedure. Awareness of such a belief would help a health care provider understand why a patient or family member may be hesitant to follow through with medical treatment. Nurses and physicians play a significant role in the patient-centered service. Patient concerns, attitudes, and biases could hinder the process if healthcare professionals concerned lack effective communication. Such communication dictates letting the patient understand the entire treatment process and expected outcomes.
However, effective communication between the patient and healthcare provider also requires understanding the patient's cultural, social, and family aspects. Such awareness makes the patient-centered process more effective and achievable, ultimately offering quality care with positive patient outcomes. For example, understanding the patient and family attitude towards chronic illness would help institute the best treatment strategy that brings both the patient and family on board. Traditional medicine use may thus be used alongside conventional treatment to alleviate suffering.
Globalization and subsequent immigration have resulted in people from various cultures interacting in multiple circles (Brown et al., 2016), and the healthcare setting is one of these circles. Thus, cultural competence includes language competence, hence the importance of diversity among healthcare providers to communicate with patients from different cultures effectively. A healthcare process can result in adverse outcomes when there are barriers in the communication process. For example, a patient can receive emergency treat.
Patients' satisfaction towards doctors treatmentmustafa farooqi
This document provides an introduction, literature review, and proposed framework for a study on patient satisfaction towards doctor treatment at state hospitals in Multan, Pakistan. The study aims to examine if patients are satisfied with the healthcare process, doctor treatment and behavior, and information/communication. The conceptual framework identifies background variables, independent variables related to doctor treatment, and dependent variables of patient satisfaction. The literature review discusses several prior studies that examined factors influencing patient satisfaction like doctor competence, communication, and attitudes. The theoretical framework discusses social identity theory and satisfaction theory in understanding patient attitudes and expectations.
Patients' satisfaction towards doctors treatmentmustafa farooqi
The mood of the care recipient to see if the impression (expectations) of service are met by the patient may be defined as patient satisfaction. The current perspective on service efficiency tends to be that patient treatment meets public standards and requirements in terms of interpersonal support as well as professional assistance. (Hardy et al. 1996).
For various reasons, customer satisfactions in the healthcare industry have been investigated. First it was important to decide on the extent and the degree to which patient care seekers, the meeting of drugs criteria and the continuous use of these services have effect, satisfaction as a quality of service metric, as well as allowing doctors and health services to better appreciate and use the input of the patient. (Ong et al. 2000).
Consumer satisfaction with healthcare services is a multi-panel term that refers to the core facets of treatment and suppliers, while PS medical services with the quality enhancement systems from the patient context, full control of quality and the intended outcomes of services are considered to be of primary importance (Janicijevic et al. 2013).
The Pakistani health system is being changed somewhat and there are wonderful scope for applying standard of services to health care. Patients in Pakistan now have access to increased quality health care. Obviously, the staff and staff are the most important winners of a successful health care environment of every community sector framework (Bakari et al. 2019).
The medical clinic of today's study is the product of a long and complicated war of civilization to quantify produce and study and to give thought to the thoughtful (Fullman et al. 2017).
1) The document examines medical aliteracy among senior medical personnel in Akoko South West local government area of Ondo State, Nigeria. It finds that factors like ineffective supervision, low patient literacy, and lack of patient engagement can lead to medical aliteracy among senior personnel.
2) The study revealed an average level of aliteracy, with most personnel receiving medical journals annually and reading them often. The majority had reading rooms at home. Reading rates were average. Personnel preferred reading anytime and topics like surgery, physiology and pathology.
3) All personnel enjoyed reading about medical breakthroughs and other areas aside their specialty. Most interests were in public medicine and surgery. The study found no gender differences in
Care Coordination PresentationCare Coordination PresenTawnaDelatorrejs
- Care coordination is an essential nursing practice that employs nurses to improve communication between patients, families and the healthcare team for safer patient care.
- Nurses design effective care plans to improve health outcomes and coordinate care among the team and other stakeholders.
- The presentation aims to raise nurses' understanding of care coordination principles and ethical decision-making while implementing patient-centered strategies.
Peers Response to --- How do you see current trends and changes in.docxkarlhennesey
Peers Response to --- How do you see current trends and changes in healthcare models impacting the delivery of healthcare? Consider the impact of these trends on your own practice setting. Also consider how these trends and changes have impacted your own leadership style or your supervisor’s leadership style.
Taimi Dudley posted Subscribe
My name is Taimi (pronounced ty-mee). I have worked as a registered nurse with an associate of science degree for over 24 years. Across these years, I have practiced nursing in the states of New Jersey, Pennsylvania, and my home state of Massachusetts, to which I returned two years ago. When I graduated from a hospital-based nursing program, I took a job as a Post-Acute/Rehab Care staff nurse. After two years as a staff nurse, I was promoted to a clinical management position in a Post-Acute Care (PAC) facility. Since then, I have worked in a variety of milieus, including both free-standing and hospital-based facilities and served as a corporate nurse, a traveling nurse, and a private consultant. My nursing specialty has grown exponentially over the years. My role now encompasses reporting to many governmental agencies, on both a state and federal level, and most recently, I am involved in mandated Quarterly Reporting Program (SNF QRP). I am currently working as a Regional Clinical Reimbursement Specialist for a major Post-Acute Care Company.
I have been in the healthcare field since I was a junior in high school, working as a candy striper, certified nursing assistant, and home health aide before becoming an RN. So, I have been both exposed to and used critical thinking for a lot of years. Nevertheless, I am excited to broaden my understanding, experience, and critical thinking skills with new and fresh information on the best practices approach of nurse leaders in today's healthcare environment.
How do you see current trends and changes in healthcare models impacting the delivery of healthcare? In the recent past, the fee for service healthcare trend generated money through the volume of patients or census levels and viewed the patient as a source of revenue. Whereas, the new trend of value-based healthcare has changed healthcare, particularly in my industry of post-acute care. Our patients have now become an expense versus a source of revenue. This change has made it necessary for different types of healthcare providers to stop working in silos and instead communicate and collaborate with care providers across the continuum. Each provider will need to leverage each other’s strengths to provide the best possible outcomes for the patient. Also, with this new value-based payment model system, providers, and doctor’s need to begin to see cradle to grave care within a fixed premium payment.
What is the impact of these trends on your own practice? These emerging trends are having an impact on my industry by implementing electronic medical records (EMR), nurses now char ...
An Education Change Project To Improve Pharmacy And Nursing CollaborationDereck Downing
This document summarizes an evidence-based benchmark project that aims to improve communication and collaboration between nursing and pharmacy staff at a Veterans Affairs hospital. The project was proposed in response to issues with untimely delivery of medications from the pharmacy to nurses. A literature review found support for interprofessional education programs in improving understanding between professions. The goals of the project are to enhance understanding of roles, improve relationships, and ensure timely medication delivery according to hospital policy. Outcomes will be evaluated by tracking missed medication requests before and after the educational program. The project requires support from nursing and pharmacy managers but aims to benefit patient care through better collaboration between the departments.
I need a response to the following peers PEER 1 . My nakarinorchard1
I need a response to the following peers:
PEER 1 .
My name is ---------- I have been practicing nursing for many years. What I have come to recognize through experience is that what people or even literature consider to be a preserve for advanced practice is essentially what is demanded in everyday nursing practice to offer comprehensive and quality care. This demand has been accelerated by the changing dynamics and demands in health care include an increase in population that also cause increase in primary and other healthcare services, inefficient healthcare, rise of chronic conditions, high costs of care, knowledgeable population demanding better care, and prolonged lifespan that is creating a high population of aged people with chronic ailments (Hillb & Parkera, 2017).
To address the emerging issues, nurses must have the ability to tackle complex cases through complex decision-making spanning across the many system levels from clinical to organizational to political level, serve in leadership and consultancy capacity, support innovation and promote evidence-based practice. They should also be able to collaborate with other healthcare professions and to navigate the intricacies of the current healthcare system to offer the best care possible. These are the roles of an advanced practice nurse role that affords them greater control when providing direct and indirect clinical care. They can only be executed by acquiring an advanced practice major. As Hillb and Parkera (2017) notes, advanced practice nurses undertake advanced degrees enabling the acquisition of clinical competencies, complex decision making skills, and expert knowledge based for expanded practice to enable them practice nursing at a high level. I believe that is why I chose an advanced practice major.
The role of FNPs as is the case of most NPs in primary care has become apparent. As …highlights, this is in terms of providing primary care services in remote/rural areas, providing primary care practices equal to the standards of physicians and meeting the high demand of primary care services from the general population attributed to strides in universal coverage (Barnes, Richards, McHugh, & Martsolf, 2018). EBP is a key driver of improved patient outcomes by helping come up with the most current, best working interventions. Nonetheless, it is not a standalone factor; it must be supported by proper leadership, collaboration, scholarship, resources, organizational culture and cost effectiveness. In addition to this, FNPs should have traits for successful NPs. These include emotional stability, problem solving skills, interpersonal skills, attention to details, tenacity and having a mind of inquiry. Woo, Lee and Tam (2017) research shows that allowing advanced nurses, including FNPs more control over providing direct care to maximize on them result in better quality of care, coordination of care and clinical outcomes.
Peer 2.
The health of the population is the mos ...
Similar to Feedback for learner53021, 1016 PMThank you for your submis (20)
please read the attached file cearfully before telling me you can do.docxChereCheek752
please read the attached file cearfully before telling me you can do it.
I need a complete
power
point presentation (that incloud outlines and pictures) that pointing
3 main points
on the
topic
that is mentioned in the attached file + the speech for the slides that must be 5-7 min lon.
.
please read my post carefully.then place handshakei have the wor.docxChereCheek752
please read my post carefully.then place handshake
i have the work already but i want u do
introduction, background, and conclusion
for it.
and some changes on the paper that already written.
you just need to
add three pages on my paper
.
deadline 20-24 hours.
i attached my paper,
.
Please read the attachment.Please write a pure Essay Paper. Plea.docxChereCheek752
Please read the attachment.
Please write a pure Essay Paper. Please read the instructions. Then follow the grade sheet. Please fully understand both attachments. Also, the essay will be scanned before student upload it for a final grade. Please make sure error is free. And references are given with cited.
.
Please read first because this Assignment is for correction.Plea.docxChereCheek752
Please read first because this Assignment is for correction.
Please, read through the corrections before sending me messages. Because, if you don’t I will not response to your messages. Also, I will attached two more articles for whoever I choose to help me with this assignment. In addition, please, remove the introduction, and also attach a sample of a “Needs Assessment”
Topic Needs Assessment
Title: HIV among Young Men Who Have Sex with Men
Section 1: Background Information
All of this is opinion and needs to come out.
Sex is seemingly as old as the world is. However, sex among men, and especially young men having sex with men has not always been in the books of history. This is arguably one of the latest practices, although some sources have claims of sex among men after the antediluvian period. While sex has positive effects such as procreation, there are some negative effects which include contraction of deadly sexually transmitted diseases.
One such disease is HIV/AIDS.
HIV/AIDS is an acronym for
Human ImmunoDefiency Virus/ Acquired Immune Deficiency Syndrome
not capitalized
. Da
ta
from the Centers for Disease Control and Prevention (2015) sho
ws
that
while
over one million people aged above 13 years of age were living with the disease in the US by the year 2014
,
with
an average of 40,000 new infections are recorded each year (Centers for Disease Control and Prevention [CDC], 2015)
when you use the word while...it indicates as opposite statement coming..and that is not what this sentence did
. The high number of people who are ignorant about their HIV status
and
those who purposely choose to ignore it
has
continued to increase the risk levels for other uninfected people in the world, among them being young men who have sex with men
isn’t it possible that they are one of the above?
.
In this areas and/or introduction...you should be discussing morbidity, mortality,....you need to highlight incidence is higher in this group than in others
Introduction
The issue of young men having sex with other men has continued to be a thorny issue for a number of years, dividing the society between those who support this practice and those who oppose it. Supporters of young men having sex with other men argue that people have a right to decide their sexual orientation and preferences without undue pressure from external forces. However, those who oppose this practice argue that it emanated from social decay and as such should not be supported. One common point of agreement between these two camps is that the practice of young men having sex with men is risk and has the capability to cause grave danger to these men.
opinion
Although sex even among heterosexual could turn out to be risk and a cause of contraction of dangerous sexually transmitted diseases and infections, the risk of contraction of such health complications is doubly higher among young men who have sex with other men.
There are several reasons that c.
Please read below, and write esaay.I need 3 pages.Overvi.docxChereCheek752
Please read below, and write esaay.
I need 3 pages.
Overview
Many people are unaware of just how much they use media. It is important for us to have an awareness of the various types of media that inundate our culture and the degree to which we use those media. This is a component of media literacy.
Instructions
For this assignment, you will keep 3 days of media logs and then write a reflective essay. Please keep a daily journal that records your media use for three days. Track you use of all of the following (even if you don't use something, please make a note of that). Keep track of the time periods when you use it and what you are using it for.
Computer—online
Computer--offline
TV
Newspapers/Magazines
Radio
Stereo/CD
Books
Telephone
Other
For each day, keep a detailed record of how much time you spend using each different medium, and the purpose of the media use (e.g., talking to parents, playing music while studying, recreational TV, etc.) Keep daily logs; you may turn in your "Media Logs" as a list, a table, in columns or in whatever format you choose.
In addition to the 3 days of logs, please write a reflective essay (about 2-4 pages, double spaced) that comments on what you learned about your media use by doing this assignment. For the essay, you may want to think about: what did you learn? did anything surprise you? did you notice any patterns in your media use? has your media use changed? why do you use some forms of media more or less? what role do you think media plays in most people's lives?...)
By Sunday at 11:59 pm PST, please submit:
the 3 days of media logs, AND
your essay
.
Please Read Before RespondingI need assistance with a .docxChereCheek752
***Please Read Before Responding***
I need assistance with a well thought out, well written AWP essay the Essay must use evidence (concrete details from the story) to support your answer. Five paragraphs.
http://www.ciaranhinds.eu/pdf/crucible3.pdf
.
Please provide response to the below post. Topic #1) You are an .docxChereCheek752
Please provide response to the below post.
Topic #1) You are an administrator for the Contoso Corporation and you are responsible for multiple Hyper-V hosts. Often, the developers need to create virtual machines so that they can test their applications. Describe the steps you should take so that developers can create and manage their own machines yet not have direct access to the Hyper-V hosts.
Topic #2) You are an administrator for the Contoso Corporation, which has approximately 400 servers running Windows Server 2012 R2, 50 servers running Windows Server 2012, and 200 servers running Windows Server 2008 R2. You also have several virtual machines running Windows 7 and Windows 8/8.1 and you have approximately 15 domain controllers. From time to time, you field requests in which you need to specify when a user has logged in and when a user has accessed confidential documents. Describe how to handle such requests.
.
Please provide an annotation for the two articles attached AND ide.docxChereCheek752
Please provide an annotation for the two articles attached AND identify three common themes in both articles.
Note the purpose of the article, the participants/subject of the study, the conclusions drawn by the author(s), and the validity of the conclusions. Evaluate the article: is it a credible source? Describe the credibility of the author – are there any biases? How well did the author support his or her assertions? Did they provide an adequate literature review? Were there any limitations?
Due tomorrow, 02/07/2017 at noon.
Note the purpose of the article, the participants/subject of the study, the conclusions drawn by the author(s), and the validity of the conclusions. Evaluate the article: is it a credible source? Describe the credibility of the author – are there any biases? How well did the author support his or her assertions? Did they provide an adequate literature review? Were there any limitations?
.
Please provide a statement that addresses your reasons for transferr.docxChereCheek752
Please provide a statement that addresses your reasons for transferring and the objectives you hope to achieve. You can type directly into the box, or you can paste text from another source. (250-650 words). I'm a Bachelor Student, who wants to transfer to another university, so they need this essay.
.
Please provide a brief response to the following questions1) How .docxChereCheek752
Dr. Herskovits' discoveries about African cultural practices supported Dr. Woodson's beliefs that Eurocentric thinking distorted understanding of African history and culture. Dr. Cheikh Anta Diop believed that African people were responsible for Egyptian culture and civilization, which he supported through evidence but was a controversial Afrocentric perspective.
PLEASE NOTE OF SOURCESMATERIALS ALSO INCLUDED---USE THEMT.docxChereCheek752
PLEASE NOTE OF SOURCES/MATERIALS ALSO INCLUDED---USE THEM
TWO ASSIGNMENTS
TWO ASSIGNMENTS
TWO ASSIGNMENTS
TWO ASSIGNMENTS
TWO ASSIGNMENTS
TWO ASSIGNMENTS
.
Please note that the following vignettes represent samples of the ty.docxChereCheek752
Please note that the following vignettes represent samples of the types of questions you will be asked to respond to on the comprehensive exam. You will NOT receive these questions on the comprehensive exam; they are for study purposes only. Vignette Please compose a well-written and organized essay in response to each of the following questions. When writing your essays, please 1.Use APA (6th edition) Style, with 1-inch margins, double-spaced, 12 font, with a reference list at the end. 2.Write clearly and concisely. 3.Cite appropriate, and especially current, literature (empirical and/or theoretical). 4.Avoid all sexist idioms and allusions. 5.Remember to demonstrate your multicultural competence where appropriate. Vignette: Utilize this scenario for all of your responses A 42-year-old African American woman was brought to the emergency room by police officers for evaluation prior to going to jail to await disposition. She reported that she had been shopping when "something happened." She said that she had no recollection of events between the time she entered the store and an hour later, when she was arrested for shoplifting in a nearby department store with a considerable amount of stolen property on her person. She protested her innocence and became so agitated, belligerent, and profane that the arresting officers took her to the hospital for evaluation. At the hospital she reported that two years previously she had been arrested for shoplifting and had had amnesia for the act. The charges against her were then dropped because she explained that both the shoplifting and the amnesia resulted from her forgetting to eat after taking her insulin. Of note, her blood-sugar level on testing in the emergency room was elevated. The patient calmed down appearing asymptomatic after the evaluation and was transferred to jail pending a preliminary hearing. When she learned that her release was planned for the next day and that the charges against her would not be dropped, she became extremely agitated, angry, and abusive to the officers. Shortly thereafter, she complained of a headache and said she had no recollection of her abusive behavior. Later that evening she accosted an officer angrily. When the officer responded and addressed the patient by name, "Naomi," the patient said that her name was "Oprah" and that she would not allow herself to be called "Naomi," whom she described as a "wimp and a loser." "Oprah’s" voice and movement were somewhat different from those of "Naomi." She claimed that she had done the shoplifting and stepped back so that "Naomi" could be caught and humiliated, and that if she had wanted to, she could have evaded detection easily. She was returned to the ER and subsequently admitted to the inpatient psychiatric unit for observation. For the next two days, the patient had many apparent switches of personality, accompanied by conspicuous changes in dress, makeup, and demeanor. On several occasions "Oprah" was disrupti.
Please no plagiarism. I have attached an example to go by. The popul.docxChereCheek752
Please no plagiarism. I have attached an example to go by. The population I chose and currently work with are incarcerated juveniles, so at-risk youth.
Boundary Issues
It may not be possible or reasonable for counselors to always avoid dual relationships with clients. For example, counselors who live and work in small rural communities may attend the same religious institutions as their clients, or use the same libraries, doctors, or other services. In these multiple-relationship situations, counselors would not be in violation of ethical standards if they took reasonable steps to protect their objectivity and efficacy, and to avoid possibilities of exploitation or harm.
Counselors and supervisors usually consider dual relationships on a continuum of risk. As you work through the notion of dual relationships, you should consider the relationship with your client and the context of the situation. It is also important to consider the impact of dual roles on the power dynamics of the therapeutic relationship. For example, clients, students, and supervisees have less experience, knowledge, and power compared with licensed counselors and supervisors. Consequently, they are less likely to recognize inappropriate boundary crossings or to express their concerns about these crossings. It is your responsibility as an ethical practitioner to monitor and ensure appropriate boundaries across all related counseling situations.
For this Discussion, review the
Clinical Mental Health Counseling: Boundary Issues
media and consider the population that you are interested in working with as a professional counselor. Then, review the Learning Resources for this week and explore potential boundary issues you may encounter while working with this population. Reflect on potential benefit or harm related to boundary crossing. Finally, consider potential consultants who might be able to address any boundary issues.
Post by Day 3
a brief description of the population you selected. Then, explain any potential boundary issues you anticipate may be challenging in working with this population and explain why. Explain the potential benefit or harm associated with boundary crossing with this population. Finally, explain who you might consult with to address this boundary issue and why.
Be sure to use the Learning Resources and the current literature to support your response.
Respond by Day 5
and expand on your colleague’s posting by providing an alternate perspective on how you would work with your colleague’s selected population. Provide potential boundary crossing challenges that your colleague did not discuss and offer potential solutions for addressing these challenges.
Required Resources
Note:
To access this week's required library resources, please click on the link to the Course Readings List, found in the
Course Materials
section of your Syllabus.
Readings
Herlihy, B., & Corey, G. (2015).
ACA ethical standards casebook
(7th ed.). Alexandria, VA: American Cou.
PLEASE NO PLAGIARIZE!! Have 10 hours to fullfil this work. 1page or .docxChereCheek752
Women have long faced inequality compared to men, but the women's rights movement in the mid-late 20th century improved women's status by opening positions traditionally held by men. While some feel women have achieved equality in the 21st century, others disagree. The document asks how one would describe current gender equality in Western culture and whether there are still major areas of large-scale discrimination against women, requesting two examples if so or a rationale if not.
Please Paraphrase the following into a more scholarly toneI f.docxChereCheek752
Please Paraphrase the following into a more scholarly tone:"
"I feel like after reading these excerpts I feel like the first answer clarified what exactly Gus Casely-Hayford was really trying to figure out about Ethiopian history. It was clear that he was trying to figure out its history, however, it was difficult to put the pieces together and pinpoint things that could lead to it's past. I don't think it was a specific sentence it was really just how they answered it that helped me put it together.
A sentence in another paragraph that clarified what the answer was at number two when it said "After this, Ethiopia switched to Christianity, which has a direct link with the history of the kingdom. The Patriarch claims that the Ark of the Covenant was brought to Ethiopia". It clarifies what the patriarch really meant when he said that they had accepted the old testament.
These excerpts can help when I am doing homework because they can be used as a structure when answering questions for my future homework. In my next homework, I will aim to have more references and actually pinpoint what the answer is because I feel like I do not fully answer the question I only answer it partially. So I can turn in something rather than nothing. It is sometimes difficult to understand the main idea or interpret what some people are saying in the documentaries. The readings, however, are easier to understand.
.
Please only respond if you are familiar with raspberry piIam loo.docxChereCheek752
Please only respond if you are familiar with raspberry pi
Iam looking to send Binary data over the GPIO pins. I need to use one of the input and output pin to send binary data on the output.
If you are very familiar with Raspberry pi please message me.
THank you
.
Please note this is 2 ASSIGNMENTS ......Please only orginial work on.docxChereCheek752
Please note this is 2 ASSIGNMENTS ......Please only orginial work only and please follow the instruction provided
Assignment 1: Week 3 COURSE PROJECT
Week 3: Create the Database
Create the database and associated tables in your database environment.
Assignment 2: Week 3 ILAB
iLab 3: Database Creation and Table Manipulation
.
PLEASE NEED TWO RESPONSES TWO HUNDRED WORDS EACHDistinguish b.docxChereCheek752
PLEASE NEED TWO RESPONSES TWO HUNDRED WORDS EACH:
Distinguish between various factions/denominations within Christianity (Catholic/Protestant/Orthodox/etc) and their impact on mainstream (dominant) expression of how Christianity is viewed by those on the "outside."
Consider the viewpoints we saw represented in
Once I Was a Beehive.
How does it differ or compare to popular or mainstream faith as you know it? Of course, it is one interpretation of faith in Jesus and how it impacts daily life (and during troubling times, as seen in the film).
For example, if I walked into one church, I might find folks picking up and handling snakes, singing rather loudly and outwardly in their expressions of worship. If I went to the congregation next door the following Sunday, I might find a church that barely whispered, used no music at all, and perhaps simply followed a monotone lecture/sermon style delivered over the course of an hour, or two, or three! Both representing the same organism/religion...
Please respond with no less than 200 words, and respond to at least one of your classmate's post.
.
Please no plagiarism and make sure you are able to access all resour.docxChereCheek752
Please no plagiarism and make sure you are able to access all resource on your own before you bid. I need this completed by 10/21/17 at 12pm.
Application:
Applying Theoretical Interventions for Clients Experiencing Life Transition and Developmental Issues, Part II
Marriage, couple, and family counselors have varying caseloads. What they all have in common is that their group of clients—whether large or small—represents the variety of human experience. Even those counselors with a specific clinical focus see variety in the ways in which specific issues manifest in different relationships. Part of the goal of your counseling program is to expose you to varying scenarios so that when you are faced with differing client situations, you will have the evidence-based research knowledge, flexibility, analytical skills, and theory-integration practice to know the best course of action to take with a particular couple or family.
To prepare for this Application Assignment, select and view one movie from the list provided in this week’s Learning Resources. Begin to conceptualize the couple's or family’s problem through your theoretical orientation and identify interventions that you might use. Finally, begin to locate articles in the Walden Library that could be used to justify the interventions you selected.
The assignment (2–3 pages)
Identify the movie you selected and the life transition/developmental issue present in the couple/family.
Conceptualize the couple's/family's problem through your chosen theoretical orientation.
Describe two interventions you would use to address these couple/family issues and how you would use them. (
Note
: The interventions may not emerge from your chosen theoretical orientation.)
Justify the intervention you selected with two evidence-based research articles.
Support your Application Assignment with specific references to all resources used in its preparation. You are asked to provide a reference list for all resources, including those in the Learning Resources for this course.
Submit your assignment by
Day 7
.
Learning Resources
Required Resources
Media
Please select, obtain, and view one of the following movies to use with this week’s Application Assignment:
Please note:
These films are
not
available through Walden Library. Contact your instructor if you are unable to obtain a copy independently.
Movie: Rydell, M. (Director). (1981).
On golden pond
[Motion picture]. [With K. Hepburn, H. Fonda, & J. Fonda]. United States: IPC Films.
Movie: Demme, J. (Director). (2008).
Rachel getting married
[Motion picture]. [With A. Hathaway, R. DeWitt, & D. Winger]. United States: Sony Pictures Classics.
Movie: Redford, R. (Director). (1980).
Ordinary people
[Motion picture]. [With A. Sutherland, M. Tyler Moore, & J. Hirsch]. United States: Paramount Pictures.
Readings
Article: Haggan, P. S. (1998). Counseling adult children of aging parents.
Educational Gerontology
,
24
(4), 333. Ret.
Please need two posts of 200 words each. Discuss the ways in whi.docxChereCheek752
Please need two posts of 200 words each.
Discuss the ways in which Confucianism can or may weave into our everyday lives, given what you've read and watched/reviewed. Consider the ways you saw Confucianism as a religion and/or as a philosophy displayed in the film
Confucius
, focusing on the themes of bravery, self-sacrifice, respect, and loyalty. As you've been reading through the text, you'll find multiple arguments suggesting that Confucianism is less religion, more philosophy. What are your thoughts? Use examples from the film and text to support your conclusions.
.
বাংলাদেশের অর্থনৈতিক সমীক্ষা ২০২৪ [Bangladesh Economic Review 2024 Bangla.pdf] কম্পিউটার , ট্যাব ও স্মার্ট ফোন ভার্সন সহ সম্পূর্ণ বাংলা ই-বুক বা pdf বই " সুচিপত্র ...বুকমার্ক মেনু 🔖 ও হাইপার লিংক মেনু 📝👆 যুক্ত ..
আমাদের সবার জন্য খুব খুব গুরুত্বপূর্ণ একটি বই ..বিসিএস, ব্যাংক, ইউনিভার্সিটি ভর্তি ও যে কোন প্রতিযোগিতা মূলক পরীক্ষার জন্য এর খুব ইম্পরট্যান্ট একটি বিষয় ...তাছাড়া বাংলাদেশের সাম্প্রতিক যে কোন ডাটা বা তথ্য এই বইতে পাবেন ...
তাই একজন নাগরিক হিসাবে এই তথ্য গুলো আপনার জানা প্রয়োজন ...।
বিসিএস ও ব্যাংক এর লিখিত পরীক্ষা ...+এছাড়া মাধ্যমিক ও উচ্চমাধ্যমিকের স্টুডেন্টদের জন্য অনেক কাজে আসবে ...
हिंदी वर्णमाला पीपीटी, hindi alphabet PPT presentation, hindi varnamala PPT, Hindi Varnamala pdf, हिंदी स्वर, हिंदी व्यंजन, sikhiye hindi varnmala, dr. mulla adam ali, hindi language and literature, hindi alphabet with drawing, hindi alphabet pdf, hindi varnamala for childrens, hindi language, hindi varnamala practice for kids, https://www.drmullaadamali.com
How to Make a Field Mandatory in Odoo 17Celine George
In Odoo, making a field required can be done through both Python code and XML views. When you set the required attribute to True in Python code, it makes the field required across all views where it's used. Conversely, when you set the required attribute in XML views, it makes the field required only in the context of that particular view.
This slide is special for master students (MIBS & MIFB) in UUM. Also useful for readers who are interested in the topic of contemporary Islamic banking.
How to Setup Warehouse & Location in Odoo 17 InventoryCeline George
In this slide, we'll explore how to set up warehouses and locations in Odoo 17 Inventory. This will help us manage our stock effectively, track inventory levels, and streamline warehouse operations.
This document provides an overview of wound healing, its functions, stages, mechanisms, factors affecting it, and complications.
A wound is a break in the integrity of the skin or tissues, which may be associated with disruption of the structure and function.
Healing is the body’s response to injury in an attempt to restore normal structure and functions.
Healing can occur in two ways: Regeneration and Repair
There are 4 phases of wound healing: hemostasis, inflammation, proliferation, and remodeling. This document also describes the mechanism of wound healing. Factors that affect healing include infection, uncontrolled diabetes, poor nutrition, age, anemia, the presence of foreign bodies, etc.
Complications of wound healing like infection, hyperpigmentation of scar, contractures, and keloid formation.
This presentation includes basic of PCOS their pathology and treatment and also Ayurveda correlation of PCOS and Ayurvedic line of treatment mentioned in classics.
A review of the growth of the Israel Genealogy Research Association Database Collection for the last 12 months. Our collection is now passed the 3 million mark and still growing. See which archives have contributed the most. See the different types of records we have, and which years have had records added. You can also see what we have for the future.
ISO/IEC 27001, ISO/IEC 42001, and GDPR: Best Practices for Implementation and...PECB
Denis is a dynamic and results-driven Chief Information Officer (CIO) with a distinguished career spanning information systems analysis and technical project management. With a proven track record of spearheading the design and delivery of cutting-edge Information Management solutions, he has consistently elevated business operations, streamlined reporting functions, and maximized process efficiency.
Certified as an ISO/IEC 27001: Information Security Management Systems (ISMS) Lead Implementer, Data Protection Officer, and Cyber Risks Analyst, Denis brings a heightened focus on data security, privacy, and cyber resilience to every endeavor.
His expertise extends across a diverse spectrum of reporting, database, and web development applications, underpinned by an exceptional grasp of data storage and virtualization technologies. His proficiency in application testing, database administration, and data cleansing ensures seamless execution of complex projects.
What sets Denis apart is his comprehensive understanding of Business and Systems Analysis technologies, honed through involvement in all phases of the Software Development Lifecycle (SDLC). From meticulous requirements gathering to precise analysis, innovative design, rigorous development, thorough testing, and successful implementation, he has consistently delivered exceptional results.
Throughout his career, he has taken on multifaceted roles, from leading technical project management teams to owning solutions that drive operational excellence. His conscientious and proactive approach is unwavering, whether he is working independently or collaboratively within a team. His ability to connect with colleagues on a personal level underscores his commitment to fostering a harmonious and productive workplace environment.
Date: May 29, 2024
Tags: Information Security, ISO/IEC 27001, ISO/IEC 42001, Artificial Intelligence, GDPR
-------------------------------------------------------------------------------
Find out more about ISO training and certification services
Training: ISO/IEC 27001 Information Security Management System - EN | PECB
ISO/IEC 42001 Artificial Intelligence Management System - EN | PECB
General Data Protection Regulation (GDPR) - Training Courses - EN | PECB
Webinars: https://pecb.com/webinars
Article: https://pecb.com/article
-------------------------------------------------------------------------------
For more information about PECB:
Website: https://pecb.com/
LinkedIn: https://www.linkedin.com/company/pecb/
Facebook: https://www.facebook.com/PECBInternational/
Slideshare: http://www.slideshare.net/PECBCERTIFICATION
Traditional Musical Instruments of Arunachal Pradesh and Uttar Pradesh - RAYH...
Feedback for learner53021, 1016 PMThank you for your submis
1. Feedback for learner
5/30/21, 10:16 PM
Thank you for your submission. Please make sure that you cite
frequently and paraphrase to lower your plagiarism scores. The
following was reported by Blackboard. "The text in this attempt
was likely copied from other sources because it includes
excessive quoted or paraphrased material. Review the attempt
for plagiarism." You are off to a good start with your Phase One
assignment. As you begin to progress, please ensure that you
cite within your project. This will support your thoughts as you
disseminate your research evidence. Remember as you write and
build your project. Continue to align your paper to ensure that
there are transitions from each phase, which includes
introductions, and summaries. Remember that you will build a
project in phases. Please remember to review your APA 7th
edition publishing guidelines, this will prevent any possible
similarity index issues and helps with formatting. If you need
additional assistance with APA, please do not forget to consult
the writing center if necessary. I am looking forward to your
continued work.
5
Influence of Transitional Care in Hospital Readmission among
Elderly Patients.
2. Influence of Transitional Care in Hospital Readmission among
Elderly Patients.
Transitional care is offered to a patient when they are leaving
one care setting such as a hospital, nursing home or intensive
care unit into another setting. Transitional care interventions
ensure the continuity of quality care to the patient and the
coordination of healthcare between different healthcare
providers (Menezes et al., 2019). Successful transitions require
trained practitioners and health plans indicating the patient’s
medications, previous treatment plans, and healthcare
preferences. Transitional care can occur within care settings
such as from primary care to intensive care, between settings
such as from a nursing home to a hospital, between healthcare
providers such a specialist to a palliative care medical provider,
or across different health conditions. Transitional care is
critical for older patients since they have unique needs
compared to other populations especially when transitioning
from the hospital to nursing homes or individual residences
(Menezes et al., 2019). Lack of proper transitional care may
lead to emergency hospital readmissions and other medical
unplanned events.
Multiple complicated conditions are barriers to managing
healthcare needs among older patients. Care transition is
thereby important for this population to reduce the risk of
infections and readmission (Fønss et al., 2021). Nurses ensure
the environment and the services provided are safe for effective
passage from one setting or specialist to the other. Older
patients receive diverse forms of care from different healthcare
providers owing to multiple chronic conditions. They are in the
greatest need of successfully transitional care. Poor transitional
care leads to unpleasant events, dissatisfaction, and mistrust of
the healthcare institution and medical providers, and a high
readmission rate.
Previous literature has identified various factors associated with
ineffective transitional care. Some of these include poor
communication between medical providers, incomplete patient
3. information, lack of awareness and education among older
patients, and cultural and language barriers (Fønss et al., 2021).
These factors lead to gaps in the provision of quality healthcare
among older patients. Religious and cultural barriers can be
especially challenging to nurses due to a lack of cultural-based
competency. Some religions such as Islam state that make
members of the family or heads of households should make
decisions for every member of the family. Women are not
allowed to make decisions without consulting male members.
Nurses find this challenging and time-consuming when deciding
on the specific transition care interventions since they have to
consult before every decision. There is also uncertainty in the
decisions made since they may not reflect the patient’s needs.
Healthcare needs for older adults are expected to increase
because statistics indicate an increase in the elderly population
between 2016 and 2080. According to the U.S Census Bureau
(2020), the older population has increased since 2010 with a
3.2% increase from 2018 to 2019. The increase has also led to
ethnic and racial diversity in the population. This has led to the
demand for healthcare that is specific to individual needs.
Changes in demographics will lead to challenges in the
provision of transitional care interventions. Older adults who
require medical care are unable to care for themselves due to
limited physical and mental functions. Healthcare institutions,
therefore, need to provide primary and secondary healthcare.
Older adults with complex conditions are at a high risk of
accidents which may lead to readmission. Findings from the
literature have indicated poor management of older patient’s
needs leads to consequences for the patient, healthcare
institutions, and professionals. The consequence to the patient
includes reduced health status and poor healthcare experiences.
However, the most significant problem is avoidable readmission
or rehospitalization. Research on hospital readmission has
indicated while most readmissions are necessary,
rehospitalization of 20% of older persons with chronic
conditions could be discovered earlier and prevented (Fønss et
4. al., 2021). Readmission of older adults has an impact on society
especially the cost of caring for older patients and meeting their
unique needs. Medicare healthcare costs increase when a patient
has more than one chronic condition. In 2011, the cost of an
older patient with one chronic condition was $2,097 while
$31,453 was allocated to patients with four or five chronic
conditions (Weeks et al., 2018). High healthcare costs are
attributed to older patient’s readmission due to poor transitional
care.
Unforeseen readmission occurs due to a lack of proper planning
during discharge, medication errors, and lack of communication
between medical providers in the hospital and the older
patient’s caregiver. Family caregivers have a major role in
offering older patients with support in the hospital and after
they transfer to a different care setting (Allen et al., 2017).
However, they face enormous burdens since caregiving may
weigh on their physical and emotional states. Family caregivers
are frequently left out of the design and planning phase of
transitional care interventions and are unaware of the values,
requirements, and goals of care (Naylor et al., 2017). Nurses
must consider the role of family caregivers in transitional care
and work closely before the patient is discharged and during the
actual transfer of the patient to a different setting.
Hospital readmission has devastating effects on older adults and
is costly and dangerous. Poor transitional care leads to
readmission after less than 15 days of being discharged. Most
seniors are readmitted for pulmonary infections, pneumonia,
and heart failure (Naylor et al., 2017). Older patients acquire
hospital-acquired infections from frequent readmission that
worsens their complications. Readmission has adverse
consequences for hospital staff and medical providers too. Older
patients are likely to blame medical providers for readmission
and the hospital for poor quality healthcare. This discredits the
healthcare institution leading to decreased number of patients
seeking care in the hospital.
The problem of hospital readmission among seniors due to poor
5. transitional care is significant to nursing practice because
nurses have a role in ensuring smooth transitions that reduce
rehospitalization. Nurses help in coordinating healthcare
activities in different care settings and are active agents in the
transformation of healthcare delivery through the improvement
of care transition. Nursing care is dependent on the older
patient’s medical needs. Patients with acute conditions require
post-acute care services for instance rehabilitation, outpatient,
and home nursing services (Menezes et al., 2019). Nurses must
determine the appropriate post-care intervention for every older
patient for optimal outcomes. It is important to consider the
patients’ medical needs, physical and mental capacity, and the
environment they are transitioning to. The interaction and
relationship formed between the nurse and the older patient are
vital to improving transitional care.
During the provision of healthcare, nurses interact the most
with older patients compared to other medical providers. They
learn the patient’s history and other information that they use to
design transitional plans. Through the information, they can
identify barriers that may contribute to readmission. Financial
barriers are common in transitional care. Older patients and
their families are not able to meet medical needs such as
medication for multiple chronic conditions, nursing home
expenses, food, and adult diapers for those who are physically
challenged. Family members and caregivers should
communicate to the medical team if any barriers will impact a
successful transition. This allows proper planning and
identification of the proper transitional setting.
The role of nurses is to ensure timely and efficient transition by
sharing information with caregivers and clinicians and
coordinating with the medical team. The nurse needs to show
the patient and their caregiver how to use technology to
communicate with medical providers in case of a problem. They
are also significant in follow-ups to assess the older adult’s
health status to reduce hospitalization. Nursing is significant
since the practice promotes successful transitions and supports
6. the healthcare needs of the patient which reduces readmission.
References
Allen, J., Hutchinson, A. M., Brown, R., & Livingston, P. M.
(2017). User experience and care for older people transitioning
from hospital to home: Patients’ and carers’ perspectives.
Health Expectations, 21(2), 518–527.
https://doi.org/10.1111/hex.12646
Fønss Rasmussen, L., Grode, L. B., Lange, J., Barat, I., &
Gregersen, M. (2021). Impact of transitional care interventions
on hospital readmissions in older medical patients: a systematic
review. BMJ Open, 11(1), e040057.
https://doi.org/10.1136/bmjopen-2020-040057
Menezes, T. M. D. O., Oliveira, A. L. B. D., Santos, L. B.,
Freitas, R. A. D., Pedreira, L. C., & Veras, S. M. C. B. (2019).
Hospital transition care for the elderly: an integrative review.
Revista Brasileira de Enfermagem, 72(suppl 2), 294–301.
https://doi.org/10.1590/0034-7167-2018-0286
Naylor, M. D., Shaid, E. C., Carpenter, D., Gass, B., Levine, C.,
Li, J., Williams, M. V. (2017). Components of Comprehensive
and Effective Transitional Care. Journal of the American
Geriatrics Society, 65(6), 1119–1125.
https://doi.org/10.1111/jgs.14782
US Census Bureau. (2020, June 25). 65 and Older Population
Grows Rapidly as Baby Boomers Age. Retrieved May 27, 2021,
from https://www.census.gov/newsroom/press-releases/2020/65-
older-population-grows.html
Weeks, L. E., Macdonald, M., Martin-Misener, R., Helwig, M.,
Bishop, A., Iduye, D. F., & Moody, E. (2018). The impact of
transitional care programs on health services utilization in
community-dwelling older adults: a systematic review. JBI
database of systematic reviews and implementation
reports, 16(2), 345–384. https://doi.org/10.11124/JBISRIR-
2017-003486
Descriptive Research
7. Descriptive research is a study designed to depict the
participants in an accurate way. More simply put, descriptive
analysis is all about describing people who take part in the
survey.
There are three ways a researcher can go about doing a
descriptive research project, and they are:
· Observational, defined as a method of viewing and recording
the participants
· Case study, defined as an in-depth study of an individual or
group of individuals
· Survey, defined as a brief interview or discussion with an
individual about a specific topic
Descriptive Blog: The 3 Basic Types of Descriptive Research
Methods
https://psychcentral.com/blog/the-3-basic-types-of-descriptive-
research-methods/
Video: Descriptive Research Design
https://www.youtube.com/watch?v=jhPWBahCvQM
Mixed Methods Research
Mixed methods research (Extracted from the article below) is
the use of quantitative and qualitative methods in a single study
or series of studies. It is a new methodology that is increasingly
used by health researchers, especially within health services
research. There is a growing literature on the theory, design,
and critical appraisal of mixed methods research. However, few
papers summarize this methodological approach for health
practitioners who wish to conduct or critically engage with
mixed methods studies.
Article: Using Mixed Methods in Health Research
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3697857/
Mixed Methods
https://www.youtube.com/watch?v=1OaNiTlpyX8
Meta-Analysis
Meta-analysis is a statistical technique for combining data from
multiple studies on a particular topic. A Meta-analysis is an
analytical tool for estimating the mean and variance of
8. underlying population effects from a collection of empirical
studies addressing ostensibly the same research question.
Meta‐ analysis has become an increasingly popular and valuable
tool in psychological research, and significant review articles
typically employ these methods.
Article: Meta-Analysis in Medical Research
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3049418/
Video Meta-Analysis (An Introduction)
https://www.youtube.com/watch?v=RqmgKg5jTLE
Epidemiology
According to the Centers for Disease Control, Epidemiology is
the method used to find the causes of health outcomes and
diseases in populations. In epidemiology, the patient is the
community and individuals are viewed collectively. By
definition, epidemiology is the study (scientific, systematic, and
data-driven) of the distribution (frequency, pattern) and
determinants (causes, risk factors) of health-related states and
events (not just diseases) in specified populations
(neighborhood, school, city, state, country, global).
Article: Epidemiology is a Science of High Importance
https://www.nature.com/articles/s41467-018-04243-3.pdf
Video: Epidemiology
https://www.youtube.com/watch?v=S5XRh47T420
Longitudinal Studies
Longitudinal Study, an epidemiologic study that follows a
population forward over time, evaluating the effects of one or
more variables on a process. If individuals are followed, it is
termed a longitudinal cohort study. If classes—e.g., age
classes—are studied, it is a longitudinal cross-sectional study.
Longitudinal studies are the converse (opposite) of horizontal
(parallel) studies.
Article Longitudinal Studies
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4669300/
Video (A Lecture Recording): Longitudinal Studies
https://www.youtube.com/watch?v=Ioayy73PvsE
9. Research Paper Rubric
Phase 2-Design (Due by WEEK 6)
Students will continue their research topic, in this paper
students will perform a brief literature review on the topic
(Will need at least 5 support articles) and provide the desired
methodology for the project. Paper will be approximately 5-6
pages.
1. Brief literature review
2. Methodology and design of the study (Be detailed )
3. Sampling methodology
4. Necessary tools
5. Any algorithms or flow maps created.
This will be considered a Library Assignment as you will need
to visit the library to obtain information.
Outstanding 10 points
Very Good 8 points
Good 6 Points
Unacceptable 4 points
Integration of Knowledge
12.5%
The paper demonstrates that the author understands and has
applied concepts learned in the course.
Concepts are integrated into the writer’s own insights.
The writer provides concluding remarks that show analysis and
synthesis of ideas
The paper demonstrates that the author, mostly, understands and
has applied concepts learned in the course.
Some conclusions, however, are not supported in the body of
the paper
The paper demonstrates that the author, to a certain extent,
understands and has applied concepts learned in the course
The paper does not demonstrate that the author has understood,
10. and applied concepts learned in the course.
Topic Focus
12.5%
The topic is focused narrowly enough for the scope of this
assignment.
A thesis statement provides direction for the paper, either by a
statement of a position or hypothesis
The topic is focused but lacks direction.
The paper is about a specific topic, but the writer has not
established a position.
The topic is too broad for the scope of this assignment.
The topic is not clearly defined
Depth of Discussion
12.5 %
In-depth discussion and elaboration in all sections of the paper.
In-depth discussion and elaboration in most sections of the
paper.
The writer has omitted content.
Quotations from others outweigh the writer’s own ideas
excessively.
Cursory discussion in all the sections of the paper or brief
discussion in only a few sections
Cohesiveness
12.5%
Ties together information from all sources.
Paper flows from one issue to the next with no headings.
Author’s writing demonstrates an understanding of the
relationship among material obtained from all sources
Mostly, it ties together information from all sources.
Paper flows with only some disjointedness.
The author’s writing demonstrates an understanding of the
relationship among material obtained from all sources.
Sometimes ties together information from all sources.
Paper does not flow.
Disjointedness is apparent.
The author’s writing does not demonstrate an understanding of
11. the relationship among material obtained from all sources.
It does not tie together information.
Paper does not flow and appears to be created from disparate
issues.
Headings are necessary to link concepts.
Writing does not demonstrate understanding any relationship
Spelling and Grammar 12.5%
Minimal spelling and/or grammar mistakes
Some spelling and or grammar mistakes.
Noticeable spelling and grammar mistakes.
An unacceptable number of spelling and/or grammar mistakes
Sources
12.5%
Over 5 current sources, of which at least 3 are peer-review
journal articles or scholarly books.
Sources include both general background sources and
specialized sources.
Special-interest sources and popular literature and
acknowledged as such if they are cited.
All web sites utilized are authoritative.
5 current sources, of which at least 2 are peer-review journal
articles or scholarly books.
All web sites utilized are authoritative.
Fewer than 5 current sources or fewer than 2 of 5 are peer-
reviewed journal articles or scholarly books. All web sites
utilized are credible.
Fewer than 5 current sources or fewer than 2 of 5 are peer -
reviewed journal articles or scholarly books. Not all web site s
utilized are credible, and/or sources are not current.
Citations
12.5%
Cites all data obtained from other sources.
APA citation style is used in both text and bibliography
Cites most data obtained from other sources.
APA citation style is used in both text and bibliography.
Cites some data obtained from other sources.
12. The citation style is inconsistent or incorrect.
It does not cite sources.
Research Paper-Planning
2
Research Paper-Planning
The issue of falls in the long-term care settings
The issue of falls in the long-term care settings
The issue of falls is a common event for elderly patients
who are living in acute care settings. This leads to the loss of
independence, injuries, and even death if proper intervention
and care are not taken. This, therefore, implies that the
preventive approaches are the major concern for elderly patients
and healthcare professionals. Reports reveal that about 700,000
to 1,000,000 fall-related cases are common within acute care
13. settings (Panneman, et al., 2021).
The United States Centers for Disease Control and
Prevention (CDC) reports that one in every four individuals of
age 65 years and above falls every year. This is more than 2.8
million injuries that are being treated within the emergency
departments every year. The reported annual rates of
hospitalization and deaths are 800, 000 and over 27, 000
respectively not forgetting the financial burden associated with
adult falls. The medical cost for the fall issue was anticipated to
rise to $ 67.7 billion by 2020 (Panneman, et al., 2021). Most of
the insurance firms are not reimbursing for these never events
hence causing more financial burden to the healthcare
organizations.
These burdens and the adverse impacts of fall rates require
urgent interventions from healthcare professionals in acute care
settings. The best practices must be put in place to help in the
successful management of the falls thus enhancing the overall
safety and the autonomy of the individuals in healthcare
facilities. The purposeful, as well as timely hourly rounding,
has been recommended to be an effective intervention that helps
in meeting the needs of the clients, reduction of the fall rates in
every department or units, improvement of the patients' safety,
and helping in the proactive approaches towards addressing the
falls issues before they occur (Brewer, Carley, Benham-
Hutchins, Effken, & Reminga, 2018).
Identification of the problem
Even though hourly rounding has proven to be one of the
effective approaches that help reduce the burden and other
adverse problems caused by the issue of patients, little attention
has been given to such practices. There is an increased lack of
accountability by the nurses when it comes to implementing
hourly rounding. This, therefore, implies that however much the
hourly rounding intervention or practice is made available, the
reluctance in its implementation would still lead to an increase
in the rates of falls.
The reluctance and lack of accountability among nurses in
14. the implementation of this intervention are also increased by the
healthcare organizations. Many healthcare facilities have not
yet designed a plan that can help in holding the staff
accountable in the performance of the hourly rounding
responsibilities. Consequently, the fall rates have continued to
rise thus resulting in preventable injuries and deaths (Brewer et
al., 2018). The majority of the nursing staff are not active in the
performance of the hourly rounding on the patients thus leaving
these patients at risk of injuries.
The report by the National Institute of Health and Clinical
Excellence, NICE of 2004 reveals that the positive outcomes in
the reduction of the fall rates were successful when the patient
was provided with the information and education on the
prevention of falls. This is linked to the fact that the majority of
the residents in the acute care settings are at higher risks of
experiencing fall-related episodes as a result of the extended
hospital stay, reduction in their function for example handling
of the activity of the daily living (ADLs), polypharmacy, and
the advancement in their ages (National Institute for Clinical
Excellence (NICE), 2004).
The increase in the rates of falls among elderly individuals
requires immediate implementation of purposeful hourly
rounding procedures to help in reducing the adverse impacts and
the medical costs associated with fall-associated injuries. It is
therefore important for the frontline healthcare providers
especially nurses to make sure that the present knowledge of the
hourly rounding intervention is applied in the daily practice to
help in the improvement and the attainment of the maximum and
safe patient care (Radecki et al., 2018).
The significance of the problem
The issue of falls in the acute care settings is amongst the
major hospital-associated diseases that affect the safety of the
patients and requires interventions. The Joint Commission for
Transforming Healthcare acknowledges that patient of any age
is at risk of fall especially when the psychological needs
changes as a result of the present medical conditions. Therefore,
15. these patients are exposed to severe injuries that lead to
extended days of hospital stays and the burden associated with
the healthcare costs (Al Danaf, et al., 2018). The effective
approaches to the prevention and reduction of patient falls
require the identification of the risk factors linked to the fall.
The identification of the risk factors is helpful in the
determination of whether the present condition of the patient is
having a potential risk for fall. It also helps in the formulation
of effective interventions for such risks to prevent future
occurrence.
One of the barriers that have been identified to be the
cause of the failure to implement the prevention practices is the
absence of consistency in the implementation of the proposed
standardized intervention or healthcare care approaches. The
effective approaches in addressing the barrier involve the
utilization of the hospital data associated with the medication
errors and performance of the survey to act as a guideline
towards addressing the issues and promote change within the
organization (National Institute for Clinical Excellence (NICE),
2004).
The intervention involving the use of the intentional-
rounding is considered to be a proactive approach that assists in
meeting the needs of the patients. It helps in ensuring that
nurses remain to make routine visits to the patients' rooms and
checking for specific tools within the patients' wards and
gathering more information concerning the self-care of the
patient continuously and consistently. Therefore, the
introduction of the hourly rounding ad educating nurses about
their protocols required in their implementation helps in
ensuring that there is a reduction in the fall rates among
patients. There is a need to have a plan of the intentional hourly
rounding procedure and incorporating the education approach to
the nurse staff on the prevention of falls to increase the
knowledge concerning the approaches towards prevention of the
falls (Singh & Okeke, 2016). The identification of the problem
helps in determining the need for the education of the nurses in
16. combating the issue of fall rates.
The identification of the fall problems helps in revealing
the existence of the unaccountability and inconsistency about
the prevention protocols and the documentation of the records
of the patient's falls. The practice of hourly rounding help in
ensuring that patients' safety is promoted through meeting the
ADLs requirements of the patients. For example, nurses will be
able to assists patients with the Ps i.e. potty, pain, position, and
possession. This is important in ensuring that all the established
preventive measures for the assessment of the patients for
example the use of the Morse Fall Risk Assessment Scale are
implemented within the facility.
References
Al Danaf, J., Chang, B. H., Shear, M., Johnson, K. M., Miller,
S., Nester, L., . . . Amy, W. W. (2018). Surfacing and
addressing hospitalized patients’ needs: Proactive nurse
rounding as a tool. Journal of nursing management, 26(5), 540-
547. https://doi.org/10.1111/jonm.12580
Brewer, B. B., Carley, K. M., Benham-Hutchins, M., Effken, J.
A., & Reminga, J. (2018). Nursing unit design, nursing staff
communication networks, and patient falls: Are they related?.
HERD: Health Environments Research & Design Journal, 11(4),
82-94. https://doi.org/10.1177/1937586718779223
National Institute for Clinical Excellence (NICE). (2004).
Clinical practice guideline for the assessment and prevention of
falls in older people. Royal College of Nursing.
http://www.nice.org.uk/nicemedia/pdf/ CG021fi4liguideUne.pdf
Panneman, M. J., Sterke, S. C., Eilering, M. J., Blatter, B. M.,
Polinder, S., & Van Beeck, E. F. (2021). Costs and benefits of
multifactorial fall prevention in nursing homes in the
Netherlands. Experimental gerontology, 143, 111173.
https://doi.org/10.1016/j.exger.2020.111173
Radecki, B., Reynolds, S., & Kara, A. (2018). Inpatient fall
prevention from the patient's perspective: a qualitative study.
Applied Nursing Research, 43, 114-119.
17. doi:https://doi.org/10.1016/j.apnr.2018.08.001
Singh, I., & Okeke, J. (2016). Reducing inpatient falls in a
100% single room elderly care environment: Evaluation of the
impact of a systematic nurse training program on falls risk
assessment (FRA). BMJ Quality Improvement Reports, 5(1).
doi:10.1136/bmjquality. u210921.w4741
Descriptive Research
Descriptive research is a study designed to depict the
participants in an accurate way. More simply put, descriptive
analysis is all about describing people who take part in the
survey.
There are three ways a researcher can go about doing a
descriptive research project, and they are:
· Observational, defined as a method of viewing and recording
the participants
· Case study, defined as an in-depth study of an individual or
group of individuals
· Survey, defined as a brief interview or discussion with an
individual about a specific topic
Descriptive Blog: The 3 Basic Types of Descriptive Research
Methods
https://psychcentral.com/blog/the-3-basic-types-of-descriptive-
research-methods/
Video: Descriptive Research Design
https://www.youtube.com/watch?v=jhPWBahCvQM
Mixed Methods Research
Mixed methods research (Extracted from the article below) is
the use of quantitative and qualitative methods in a single study
or series of studies. It is a new methodology that is increasingly
used by health researchers, especially within health services
research. There is a growing literature on the theory, design,
and critical appraisal of mixed methods research. However, few
papers summarize this methodological approach for health
practitioners who wish to conduct or critically engage with
mixed methods studies.
18. Article: Using Mixed Methods in Health Research
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3697857/
Mixed Methods
https://www.youtube.com/watch?v=1OaNiTlpyX8
Meta-Analysis
Meta-analysis is a statistical technique for combining data from
multiple studies on a particular topic. A Meta-analysis is an
analytical tool for estimating the mean and variance of
underlying population effects from a collection of empirical
studies addressing ostensibly the same research question.
Meta‐ analysis has become an increasingly popular and valuable
tool in psychological research, and significant review articles
typically employ these methods.
Article: Meta-Analysis in Medical Research
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3049418/
Video Meta-Analysis (An Introduction)
https://www.youtube.com/watch?v=RqmgKg5jTLE
Epidemiology
According to the Centers for Disease Control, Epidemiology is
the method used to find the causes of health outcomes and
diseases in populations. In epidemiology, the patient is the
community and individuals are viewed collectively. By
definition, epidemiology is the study (scientific, systematic, and
data-driven) of the distribution (frequency, pattern) and
determinants (causes, risk factors) of health-related states and
events (not just diseases) in specified populations
(neighborhood, school, city, state, country, global).
Article: Epidemiology is a Science of High Importance
https://www.nature.com/articles/s41467-018-04243-3.pdf
Video: Epidemiology
https://www.youtube.com/watch?v=S5XRh47T420
Longitudinal Studies
Longitudinal Study, an epidemiologic study that follows a
population forward over time, evaluating the effects of one or
more variables on a process. If individuals are followed, it is
termed a longitudinal cohort study. If classes—e.g., age
19. classes—are studied, it is a longitudinal cross-sectional study.
Longitudinal studies are the converse (opposite) of horizontal
(parallel) studies.
Article Longitudinal Studies
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4669300/
Video (A Lecture Recording): Longitudinal Studies
https://www.youtube.com/watch?v=Ioayy73PvsE
Research Paper Rubric
Phase 2-Design (Due by WEEK 6)
Students will continue their research topic, in this paper
students will perform a brief literature review on the topic
(Will need at least 5 support articles) and provide the desired
methodology for the project. Paper will be approximately 5-6
pages.
1. Brief literature review
2. Methodology and design of the study (Be detailed )
3. Sampling methodology
4. Necessary tools
5. Any algorithms or flow maps created.
This will be considered a Library Assignment as you will need
to visit the library to obtain information.
Outstanding 10 points
Very Good 8 points
Good 6 Points
Unacceptable 4 points
Integration of Knowledge
12.5%
The paper demonstrates that the author understands and has
applied concepts learned in the course.
Concepts are integrated into the writer’s own insights.
The writer provides concluding remarks that show analysis and
20. synthesis of ideas
The paper demonstrates that the author, mostly, understands and
has applied concepts learned in the course.
Some conclusions, however, are not supported in the body of
the paper
The paper demonstrates that the author, to a certain extent,
understands and has applied concepts learned in the course
The paper does not demonstrate that the author has understood,
and applied concepts learned in the course.
Topic Focus
12.5%
The topic is focused narrowly enough for the scope of this
assignment.
A thesis statement provides direction for the paper, either by a
statement of a position or hypothesis
The topic is focused but lacks direction.
The paper is about a specific topic, but the writer has not
established a position.
The topic is too broad for the scope of this assignment.
The topic is not clearly defined
Depth of Discussion
12.5 %
In-depth discussion and elaboration in all sections of the paper.
In-depth discussion and elaboration in most sections of the
paper.
The writer has omitted content.
Quotations from others outweigh the writer’s own ideas
excessively.
Cursory discussion in all the sections of the paper or brief
discussion in only a few sections
Cohesiveness
12.5%
Ties together information from all sources.
Paper flows from one issue to the next with no headings.
Author’s writing demonstrates an understanding of the
relationship among material obtained from all sources
21. Mostly, it ties together information from all sources.
Paper flows with only some disjointedness.
The author’s writing demonstrates an understanding of the
relationship among material obtained from all sources.
Sometimes ties together information from all sources.
Paper does not flow.
Disjointedness is apparent.
The author’s writing does not demonstrate an understanding of
the relationship among material obtained from all sources.
It does not tie together information.
Paper does not flow and appears to be created from disparate
issues.
Headings are necessary to link concepts.
Writing does not demonstrate understanding any relationship
Spelling and Grammar 12.5%
Minimal spelling and/or grammar mistakes
Some spelling and or grammar mistakes.
Noticeable spelling and grammar mistakes.
An unacceptable number of spelling and/or grammar mistakes
Sources
12.5%
Over 5 current sources, of which at least 3 are peer-review
journal articles or scholarly books.
Sources include both general background sources and
specialized sources.
Special-interest sources and popular literature and
acknowledged as such if they are cited.
All web sites utilized are authoritative.
5 current sources, of which at least 2 are peer-review journal
articles or scholarly books.
All web sites utilized are authoritative.
Fewer than 5 current sources or fewer than 2 of 5 are peer -
reviewed journal articles or scholarly books. All web sites
utilized are credible.
Fewer than 5 current sources or fewer than 2 of 5 are peer -
reviewed journal articles or scholarly books. Not all web sites
22. utilized are credible, and/or sources are not current.
Citations
12.5%
Cites all data obtained from other sources.
APA citation style is used in both text and bibliography
Cites most data obtained from other sources.
APA citation style is used in both text and bibliography.
Cites some data obtained from other sources.
The citation style is inconsistent or incorrect.
It does not cite sources.