1. The document discusses a concern common in the nursing specialty of education - the waste of medical equipment and supplies in the department of surgery.
2. At the microsystem level, the author plans to address this by educating staff on proper procedures for equipment use and reuse of training kits.
3. This is expected to impact the mesosystem by reducing costs for the department of surgery.
4. At the macrosystem level, the chief financial officer would see lower healthcare costs from improved efficiency.
Applying Evidence-Based Practice Evidence for Effective Leader.docxjustine1simpson78276
Applying Evidence-Based Practice Evidence for Effective Leadership and
Management
Citation: Catrambone, C., Johnson, M., Mion, L., & Minnick, A. (2009). The design
of adult acute care units in U.S. hospitals. Journal of Nursing Scholarship, 41(1),
79–86.
Overview: This descriptive study examined the current state of hospital unit design
characteristics recommended by the Agency for Healthcare Research and Quality
(AHRQ) in 81 adult medical-surgical units and 56 intensive care units in six
metropolitan areas. The AHRQ recommends that the following unit design
characteristics positively impact patient outcomes: single rooms, work areas for
staff that are not a long distance from the bedside, frequent staff hand hygiene
stations, certain types of unit configuration, percentage of private rooms, and
presence or absence of carpeting. The purpose of this study is to provide a
benchmark and to assess nursing environments. Data were collected by
observation, measurement, and interviews. The researchers conclude that few of
the hospital units met the AHRQ recommendations. Further research is required to
expand understanding of these design elements, their interaction, and impact on
outcomes.
Application: Health care organizations are much more than a description of the
organization. They are also physical buildings. Several recommendations in the
Institute of Medicine (IOM) report Keeping Patients Safe. Transforming the Work
Environment of Nurses (2004) pertain to design of work and workspace to prevent
and mitigate errors. This study on unit design elements relates to the IOM work,
which is referenced in the study. There are many factors and elements that impact
PRINTED BY: [email protected] Printing is for personal, private use only. No part of this book may be
reproduced or transmitted without publisher's prior permission. Violators will be prosecuted.
https://jigsaw.vitalsource.com/api/v0/books/9781323001004/pri...
1 of 28 9/17/16, 8:03 AM
the quality of care and design is one of them. Historically nurses typically have had
limited input into design of units, but more hospitals are including nursing
management and staff nurses in the decision making process when facilities are
renovated or new buildings are built. For a long time nurses just had to work within
the space they had even if the design did not consider nursing needs; however,
more is known today on the impact of space and design on work processes and
staff.
Questions
Based on your clinical experience, your clinical experience why is unit
structure important to the staff and to patient outcomes? Identify three
examples to support your opinion.
1.
Why do you think it would be important to have standards related to unit
structure and environment?
2.
If you were a patient, what type of unit would you want to be on? Describe
it, and explain why this is the type of unit you would prefer.
3.
confronting many critical issues related to access of care and lack of insurance,
.
This isFinkelman, A. (2012). Leadership and management for nurse.docxchristalgrieg
This is
Finkelman, A. (2012). Leadership and management for nurses: Core competencies for quality care (2nd ed.).Boston, MA: Pearson.
Applying Evidence-Based Practice Evidence for Effective Leadership and Management
Overview: This descriptive study examined the current state of hospital unit design characteristics recommended by the Agency for Healthcare Research and Quality (AHRQ) in 81 adult medical-surgical units and 56 intensive care units in six metropolitan areas. The AHRQ recommends that the following unit design characteristics positively impact patient outcomes: single rooms, work areas for staff that are not a long distance from the bedside, frequent staff hand hygiene stations, certain types of unit configuration, percentage of private rooms, and presence or absence of carpeting. The purpose of this study is to provide a benchmark and to assess nursing environments. Data were collected by observation, measurement, and interviews. The researchers conclude that few of the hospital units met the AHRQ recommendations. Further research is required to expand understanding of these design elements, their interaction, and impact on outcomes.
Application: Health care organizations are much more than a description of the organization. They are also physical buildings. Several recommendations in the Institute of Medicine (IOM) report Keeping Patients Safe. Transforming the Work Environment of Nurses (2004) pertain to design of work and workspace to prevent and mitigate errors. This study on unit design elements relates to the IOM work, which is referenced in the study. There are many factors and elements that impact the quality of care and design is one of them. Historically nurses typically have had limited input into design of units, but more hospitals are including nursing management and staff nurses in the decision making process when facilities are renovated or new buildings are built. For a long time nurses just had to work within the space they had even if the design did not consider nursing needs; however, more is known today on the impact of space and design on work processes and staff.
confronting many critical issues related to access of care and lack of insurance, and much of this has an impact on minority cultures (see Chapter 7).
Effective leadership Effective leadership is critical to the success of any organization. As organizations are analyzed, its leaders should be identified and assessed. What is the leadership style? Does the leadership provide what is needed to help the organization succeed (see Chapter 1)?
Assessment of future organizational challenges and opportunities Future needs should be considered in the assessment of an organization. Is the organization preparing for the future? Does it have a strategic plan? What is included in the plan? Is the plan reasonable? What is the process the organization uses to cope with future organization challenges and opportunities? Are the challenges and opportunities identified ...
Therapeutic Environments - Devising space designs that provide measurable pos...bharti sharma
Threads of time and space weave human life, the pattern so weaved dictates its every aspect. If the effect of space on human mind and spirit is so intense then why not mould it to heal people. This presentation was the foundation of the graduation project of my MDes at NIFT Mumbai. It deals with the nuances of health care design unravelling the ways in which environment can act as a catalyst in the healing process.
PART 1
For the purpose of a more lucid account of my research, it has been divided into two parts. The first part i.e this presentation is the foundation of the research and deals with the objectives of the research and identification of the contemporary healthcare design pattern.
Common Models in Health Informatics EvaluationHave you ever watche.docxbartholomeocoombs
Common Models in Health Informatics Evaluation
Have you ever watched a movie in which the same scene was shown several times but as viewed by different individuals? Or, have you watched a detective show in which the witnesses all had differing accounts? The same can hold true for conducting an evaluation of a health information technology project. How you plan and conduct the evaluation is largely dependent on the viewpoint you assume and the perspective with which you approach the evaluation.
Consider a new patient discharge protocol at a small hospital. Do you want to know how the patient feels about the process? Do you want to gather the opinions of nurses who are using this process? Perhaps you want to determine if it is saving the hospital money by freeing up bed space in a more timely fashion. Obtaining each of these viewpoints would require a different approach. Depending on the goal of your evaluation, the model and viewpoint you opt to use will likely vary.
In this Discussion, determine which evaluation model would be most effective for evaluating the health information technology described in one of the scenarios below. Your Instructor will assign a specific scenario by Day 1 of this week.
Scenario 1:
You have recently provided a training program to help nurses and physicians become proficient in the use of a new bedside medication verification (BMV) system.
Scenario 2:
The Chief Medical Officer at your hospital is interested in finding out the impact of a new decision support system on the number of adverse events occurring in the past year.
Scenario 3:
You are helping with the design of a new outpatient surgery center to be built adjacent to the hospital. You are tasked with evaluating the opinions of physicians, nurses, and the general public toward this facility.
To prepare:
Review the information on the types of evaluation models covered in this week’s Learning Resources.
Determine which model would be most appropriate to use for evaluation in the scenario to which you were assigned.
Consider why the viewpoint of the scenario or situation would impact the model used.
View the scenario from a different viewpoint, and consider how a different model might be used.
Reflect on the importance of basing an evaluation on a model.
By tomorrow 12/13/2016 at 9pm, post a minimum of 550 words in APA format with a minimum of 3 references from the list below, which include the level one headings as numbered below:
1)
Post
which scenario (1, 2, or 3) you were assigned and two different models that could be utilized to approach the evaluation.
2)
Explain why you selected those models and how you would use them.
3)
Explain why it is important to consider the intended goal of the evaluation and the viewpoint that is selected.
4)
Finally, assess the importance of basing an evaluation on a model. Justify your response.
Required Readings
Technology Acceptance Model
Kowitlawakul, Y. (2011). The Technology Acceptance Model: Predictin.
Applying Evidence-Based Practice Evidence for Effective Leader.docxjustine1simpson78276
Applying Evidence-Based Practice Evidence for Effective Leadership and
Management
Citation: Catrambone, C., Johnson, M., Mion, L., & Minnick, A. (2009). The design
of adult acute care units in U.S. hospitals. Journal of Nursing Scholarship, 41(1),
79–86.
Overview: This descriptive study examined the current state of hospital unit design
characteristics recommended by the Agency for Healthcare Research and Quality
(AHRQ) in 81 adult medical-surgical units and 56 intensive care units in six
metropolitan areas. The AHRQ recommends that the following unit design
characteristics positively impact patient outcomes: single rooms, work areas for
staff that are not a long distance from the bedside, frequent staff hand hygiene
stations, certain types of unit configuration, percentage of private rooms, and
presence or absence of carpeting. The purpose of this study is to provide a
benchmark and to assess nursing environments. Data were collected by
observation, measurement, and interviews. The researchers conclude that few of
the hospital units met the AHRQ recommendations. Further research is required to
expand understanding of these design elements, their interaction, and impact on
outcomes.
Application: Health care organizations are much more than a description of the
organization. They are also physical buildings. Several recommendations in the
Institute of Medicine (IOM) report Keeping Patients Safe. Transforming the Work
Environment of Nurses (2004) pertain to design of work and workspace to prevent
and mitigate errors. This study on unit design elements relates to the IOM work,
which is referenced in the study. There are many factors and elements that impact
PRINTED BY: [email protected] Printing is for personal, private use only. No part of this book may be
reproduced or transmitted without publisher's prior permission. Violators will be prosecuted.
https://jigsaw.vitalsource.com/api/v0/books/9781323001004/pri...
1 of 28 9/17/16, 8:03 AM
the quality of care and design is one of them. Historically nurses typically have had
limited input into design of units, but more hospitals are including nursing
management and staff nurses in the decision making process when facilities are
renovated or new buildings are built. For a long time nurses just had to work within
the space they had even if the design did not consider nursing needs; however,
more is known today on the impact of space and design on work processes and
staff.
Questions
Based on your clinical experience, your clinical experience why is unit
structure important to the staff and to patient outcomes? Identify three
examples to support your opinion.
1.
Why do you think it would be important to have standards related to unit
structure and environment?
2.
If you were a patient, what type of unit would you want to be on? Describe
it, and explain why this is the type of unit you would prefer.
3.
confronting many critical issues related to access of care and lack of insurance,
.
This isFinkelman, A. (2012). Leadership and management for nurse.docxchristalgrieg
This is
Finkelman, A. (2012). Leadership and management for nurses: Core competencies for quality care (2nd ed.).Boston, MA: Pearson.
Applying Evidence-Based Practice Evidence for Effective Leadership and Management
Overview: This descriptive study examined the current state of hospital unit design characteristics recommended by the Agency for Healthcare Research and Quality (AHRQ) in 81 adult medical-surgical units and 56 intensive care units in six metropolitan areas. The AHRQ recommends that the following unit design characteristics positively impact patient outcomes: single rooms, work areas for staff that are not a long distance from the bedside, frequent staff hand hygiene stations, certain types of unit configuration, percentage of private rooms, and presence or absence of carpeting. The purpose of this study is to provide a benchmark and to assess nursing environments. Data were collected by observation, measurement, and interviews. The researchers conclude that few of the hospital units met the AHRQ recommendations. Further research is required to expand understanding of these design elements, their interaction, and impact on outcomes.
Application: Health care organizations are much more than a description of the organization. They are also physical buildings. Several recommendations in the Institute of Medicine (IOM) report Keeping Patients Safe. Transforming the Work Environment of Nurses (2004) pertain to design of work and workspace to prevent and mitigate errors. This study on unit design elements relates to the IOM work, which is referenced in the study. There are many factors and elements that impact the quality of care and design is one of them. Historically nurses typically have had limited input into design of units, but more hospitals are including nursing management and staff nurses in the decision making process when facilities are renovated or new buildings are built. For a long time nurses just had to work within the space they had even if the design did not consider nursing needs; however, more is known today on the impact of space and design on work processes and staff.
confronting many critical issues related to access of care and lack of insurance, and much of this has an impact on minority cultures (see Chapter 7).
Effective leadership Effective leadership is critical to the success of any organization. As organizations are analyzed, its leaders should be identified and assessed. What is the leadership style? Does the leadership provide what is needed to help the organization succeed (see Chapter 1)?
Assessment of future organizational challenges and opportunities Future needs should be considered in the assessment of an organization. Is the organization preparing for the future? Does it have a strategic plan? What is included in the plan? Is the plan reasonable? What is the process the organization uses to cope with future organization challenges and opportunities? Are the challenges and opportunities identified ...
Therapeutic Environments - Devising space designs that provide measurable pos...bharti sharma
Threads of time and space weave human life, the pattern so weaved dictates its every aspect. If the effect of space on human mind and spirit is so intense then why not mould it to heal people. This presentation was the foundation of the graduation project of my MDes at NIFT Mumbai. It deals with the nuances of health care design unravelling the ways in which environment can act as a catalyst in the healing process.
PART 1
For the purpose of a more lucid account of my research, it has been divided into two parts. The first part i.e this presentation is the foundation of the research and deals with the objectives of the research and identification of the contemporary healthcare design pattern.
Common Models in Health Informatics EvaluationHave you ever watche.docxbartholomeocoombs
Common Models in Health Informatics Evaluation
Have you ever watched a movie in which the same scene was shown several times but as viewed by different individuals? Or, have you watched a detective show in which the witnesses all had differing accounts? The same can hold true for conducting an evaluation of a health information technology project. How you plan and conduct the evaluation is largely dependent on the viewpoint you assume and the perspective with which you approach the evaluation.
Consider a new patient discharge protocol at a small hospital. Do you want to know how the patient feels about the process? Do you want to gather the opinions of nurses who are using this process? Perhaps you want to determine if it is saving the hospital money by freeing up bed space in a more timely fashion. Obtaining each of these viewpoints would require a different approach. Depending on the goal of your evaluation, the model and viewpoint you opt to use will likely vary.
In this Discussion, determine which evaluation model would be most effective for evaluating the health information technology described in one of the scenarios below. Your Instructor will assign a specific scenario by Day 1 of this week.
Scenario 1:
You have recently provided a training program to help nurses and physicians become proficient in the use of a new bedside medication verification (BMV) system.
Scenario 2:
The Chief Medical Officer at your hospital is interested in finding out the impact of a new decision support system on the number of adverse events occurring in the past year.
Scenario 3:
You are helping with the design of a new outpatient surgery center to be built adjacent to the hospital. You are tasked with evaluating the opinions of physicians, nurses, and the general public toward this facility.
To prepare:
Review the information on the types of evaluation models covered in this week’s Learning Resources.
Determine which model would be most appropriate to use for evaluation in the scenario to which you were assigned.
Consider why the viewpoint of the scenario or situation would impact the model used.
View the scenario from a different viewpoint, and consider how a different model might be used.
Reflect on the importance of basing an evaluation on a model.
By tomorrow 12/13/2016 at 9pm, post a minimum of 550 words in APA format with a minimum of 3 references from the list below, which include the level one headings as numbered below:
1)
Post
which scenario (1, 2, or 3) you were assigned and two different models that could be utilized to approach the evaluation.
2)
Explain why you selected those models and how you would use them.
3)
Explain why it is important to consider the intended goal of the evaluation and the viewpoint that is selected.
4)
Finally, assess the importance of basing an evaluation on a model. Justify your response.
Required Readings
Technology Acceptance Model
Kowitlawakul, Y. (2011). The Technology Acceptance Model: Predictin.
A Nurse’s Role in the Systems Development Life CycleWhile the proc.docxJospehStull43
A Nurse’s Role in the Systems Development Life Cycle
While the process of developing and implementing a health information technology system may seem overwhelming at first, the systems development life cycle (SDLC) provides organizations with a framework to deliver efficient and effective information systems. Though the SDLC is a common overarching structure for implementing information systems, it is not a one-size-fits-all process. In fact, there are a multitude of approaches that can be used to guide the systems development life cycle. The SDLC approach that is most appropriate for a particular organization will be highly contextual and subject to organization-specific differences.
This week prompts you to analyze the process of selecting an appropriate health information technology and then evaluate techniques that positively impact the steps of the systems development life cycle in an EHR implementation. You also determine what barriers might occur at each stage and how these could be overcome.
Learning Objectives
Students will:
Analyze how a nurse can contribute to each stage of the systems development life cycle
Photo Credit: Jose Luis Pelaez Inc]/[Brand X Pictures]/Getty ImagesCredit
Learning 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.
Required Readings
McGonigle, D., & Mastrian, K. G. (2015).
Nursing informatics and the foundation of knowledge
(3rd ed.). Burlington, MA: Jones and Bartlett Learning.
Chapter 10, “Systems Development Life Cycle: Nursing Informatics and Organizational Decision Making”
This chapter explains the systems development life cycle and explores various methods of applying it. The chapter also examines the importance of interoperability in implementing HITECH.
Chapter 11, “Administrative Information Systems”
This chapter provides an overview of agency-based health information systems. The text also details how administrators can use core business systems in their practice.
Boswell, R. A. (2011). A physician group’s movement toward electronic health records: A case study using the transtheoretical model for organizational change.
Consulting Psychology Journal: Practice and Research, 63
(2), 138–148.
Retrieved from the Walden Library databases.
The authors of this article present a case study on an EHR implementation in a multispecialty physician group. The case study attempts to determine actions that promote successful EHR implementation and the pros and cons of implementation.
Hsiao, J., Chang, H., & Chen, R. (2011).A study of factors affecting acceptance of hospital information systems: A nursing perspective.
Journal of Nursing Research, 19
(2), 150–160.
Retrieved from the Walden Library databases.
The focus of this article is to determine what factors are most important in predicting the acceptance of new health information technology. The results of the study indicated .
Paper Innovative Nursing Care Delivery (750 words min)Innovat.docxbunyansaturnina
Paper: Innovative Nursing Care Delivery (750 words min)
Innovative Nursing Care Model; Development/Implementation Team for Innovative Nursing Care Model; Evaluation of Model: Outcome Measurement
Read the two (2) articles below:
Norlander, L. (Ed.). (2011). Transformational models of nursing across different care settings. Report: The future of nursing: Leading change, advancing health (Appendix G). Washington, DC: National Academy of Sciences, Institute of Medicine.
NOTE: For this assignment, ignore curriculi/nurse education models
Hughes, F. (2006). Nurses at the forefront of innovation. International Nursing Review, 53, 94-101.
Baccalaureate-prepared nurses are expected to function as managers, educators, collaborators, advocates, and leaders within a variety of settings. These articles describe a variety of innovative or "transformational" models in nurse-managed care across various care settings. Another source of ideas are the vignettes and case studies found in: Global Health 101 Richard Skolnik Burlington, MA: Jones & Bartlett Learning, 3rd Edition, 2016.
For this paper, you will develop an innovative nursing care delivery model for a vulnerable population, care specialty, and setting in the United States OR a low income global country that reflects nurse managed care, collaboration, care across settings, and technology.
For your paper, it is easiest to focus on one (1) population, one (1) health issue/disease, and one (1) type of setting within a country. Be specific. If you use a low income country, name your low income country (see list at the end of this) and adjust your model to the disease(s) and conditions found within that country. Consider that low income countries will not have access to the same level of facilities, technology related to diagnostics and communication, medications, and the health care professionals found in the U.S.
-A vulnerable population include low income children & adults; elderly; homeless; migrants; immigrants; racial & ethnic minorities, people with chronic health or terminal conditions/diseases (or any group at risk for obtaining appropriate health care).
-A care specialty include preventative care; primary care; acute care; chronic care; palliative or end-of-life care (including the targeting of any disease or condition that results in a health risk).
-A setting include rural or urban community housing and/or clinic; school; specialty unit in a hospital; emergency room; health provider office; armed services facility; rehabilitation facility; hospice facility; ambulatory health care center; client home; nursing home; short term stay housing (or any setting where a vulnerable client/patient population is available for care).
LIST OF SELECTED COUNTRIES
African Republic Algeria
Angola
Dem Rep of Congo Ethiopia
Ghana Madagascar Malawi Mozambique Niger Senegal Sierra Leone South Africa Uganda Zambia Zimbabwe
Bolivia Ecuador Guatemala Haiti Nicaragua Peru
Afghanistan Egypt
Iraq Morocco Somalia.
Rules for my assignments1. Kindly follow APA format (American Psy.docxkathyledlow2rr
Rules for my assignments:
1. Kindly follow APA format (American Psychology Association 6
th
edition) for the citation and references! References should be between the period of 2011 and 2016…
2. Please utilize the references I posted below…
3. 2-3 pages
Transitioning From Closed to Open Systems
How do effective nurse leaders and others approach problem solving and decision making in organizations? As suggested in this week’s Learning Resources, systems theory provides a valuable way to assess situations and prepare to address problems.
For this week’s Discussion, you identify an issue or process that could be improved and apply knowledge and strategies related to systems theory.
Note:
You may find it helpful to view the Assignment instructions and use the same problem for this Discussion.
To prepare:
·
Review the information presented in this week’s Learning Resources on systems theory and the difference between open and closed systems.
·
Reflect on the practices and processes with which you are familiar in your organization. Identify one problematic issue or process that could be improved.
·
Consider the problem from a closed-system perspective. Then think about how the issue or process you selected could be addressed by viewing it from an open-system perspective. How would the transition from a closed- to an open-system view help you and others to address the problem and improve outcomes?
Please answer these questions for my assignment:
1.
Description of the problem that you identified in your selected organization.
2.
Explain the problem from a closed-system perspective.
3.
Then, describe how the problem could be addressed by viewing it from an open-system perspective, and explain how this modification would help you and others improve health care outcomes.
4.
Conclusion/Summary
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
·
Marquis, B. L., & Huston, C. J. (2015).
Leadership roles and management functions in nursing: Theory and application
(8th ed.). Philadelphia, PA: Lippincott, Williams & Wilkins.
o
Review Chapter 7, “Strategic and Operational Planning”
See especially Figure 7.1 on page 147.
o
Chapter 8, “Planned Change”
§
Organizational Change Associated With Nonlinear Dynamics (pp. 172–176)
Read this section of Chapter 8 on planned change. Consider the role of leaders in effectively managing planned change.
o
Chapter 12, “Organizational Structure”
§
“Organizational Culture” (pp. 274–276)
There are many structures organizations take, and these structures influence how the organization functions. This chapter discusses many different organizational structures and provides insights into how these structures influence the change process, as well as leadership and management.
·
Johnson, J. K., Miller, S. H., & Horowitz, S. D. (2008). Systems-based practice: Impr.
The Nurse Leader as Knowledge WorkerHenry Ehizokhale.docxarnoldmeredith47041
The Nurse Leader as Knowledge Worker
Henry Ehizokhale
Walden University
Transforming Nursing And Health Through Technology
NURS 6051
Nov 27, 2019
1
The Nurse Leader as Knowledge Worker
2
Purpose
Explain the concept of a knowledge worker.
Define and explain nursing informatics and highlight the role of a nurse leader as a knowledge worker.
The concept of a knowledge worker
The term “knowledge worker” was first coined by Peter Drucker. Ducker defined knowledge workers as high-level workers who apply theoretical and analytical knowledge, acquired through formal training, to develop products and services (CFI, 2019). He emphasized that due to the high level of productivity and creativity of knowledge worker, that they would be the most valuable assets in the 21st century organization. Professionals that can be referred to as knowledge worker includes engineers, pharmacists, architects, financial analysts, public accountants, physicians, scientists, design thinkers, and lawyers. Furthermore, knowledge workers have a high degree of expertise, experience, education and the primary purpose of their jobs involve the distribution, creation and application of knowledge.
3
Definition of a knowledge worker by Peter Drucker
Professional that are referred to as knowledge worker
Nursing Informatics
Nursing Informatics is a subset of informatics, specific to the nursing field and the role of the nurse in the healthcare setting. There has been several interpretation of nursing informatics. The American Nurses Association (ANA), identified nursing informatics as a specialty that integrates nursing, science, computer science, and information science to manage and communicate data, information, and knowledge in nursing practice (ANA, 2001, pg.17).
4
Nurse leader as a knowledge worker.
A nurse leader is one who inspire others to work together to achieve a common goal, for instance enhanced patient care or satisfaction. All nurses are called to nurse leadership, however there are different levels of nurse leadership. Nurse leaders are expected to help the organization to fulfill the organization’s mission, vision, values, and strategies to achieve long-range plans. Nurse leaders part take in policy setting, overseeing quality measures are carried out, accountability for overall quality of patient care delivery, staff satisfaction and organizational outcomes. For a nurse leader as a knowledge worker to be productive in an organization, the nurse leader must understand that knowledge work requires continuous learning on the part of the knowledge worker, but equally continuous teaching on the part of the knowledge worker. Having said that, a knowledge worker nurse leader will depend hugely on evidenced based practice to be productive in a healthcare organization. The use of EBP by knowledge worker nurse leader will require learning and teaching. Most healthcare organizations or hospitals rely on evidenced based.
This PowerPoint presentation is about Achieving Nursing Excellence thru Shared Governance. This is a partial requirement for PhD in Nursing class for the subject of Governance in Health Care Practice under Philippine Women's University, Philippines.
Discussion The Systems Development Life Cycle and the Nurse Infor.docxmickietanger
Discussion: The Systems Development Life Cycle and the Nurse Informaticist
The systems development life cycle (SDLC) is a model for planning and implementing change within an organization. It is important for many individuals to be represented in the process, especially the end users of the system or the employees who must live with the change. As informatics become more and more widespread throughout the health care field, collaboration between information technology (IT) professionals and health care practitioners is becoming increasingly important. The nurse informaticist is able to combine the perspective of the information technology side with the clinical nursing perspective.
While the titles and specific responsibilities of nurse informaticists vary across organizations and practice settings, the fundamental purpose of the role remains the same. Nurse informaticists synthesize their knowledge of how technology can improve health care with an understanding of clinical practice and workflow. This is why nurse informaticists can be instrumental in facilitating the SDLC for informatics in health care. For this Discussion, you examine the relationship between the nurse informaticist and the use of the SDLC.
To prepare:
Review the information in this week’s Learning Resources on the SDLC and the role of the nurse informaticist. Reflect on Chapter 1 of the Dennis, Wixom, and Roth course text and consider how the information about the systems analyst role translates into nursing and health care.
Consider a recent change in your organization related to the implementation of a new technology or system. How was this change handled? What was the general SDLC process? Who was involved, and what were the outcomes?
Identify whether your organization (or one with which you are familiar) has a formal title or position for the nurse informaticist. This position may be called by a different name, such as nurse informatics specialist or informatics analyst, so be sure to review the position description.
If your organization has a position for the nurse informaticist, what are the responsibilities of that position? If your organization does not have such a position, conduct research in the Walden Library and at credible online sources on the role of the nurse informaticist.
Reflect on the role of the nurse informaticist in the overall health care field. How is this position connected to the SDLC? Assess the benefits of having this specialized position within health care organizations and involving the nurse informaticist in the SDLC.
Post by tomorrow 8/30/16 550 words in APA format with a minimum of 3 references from the list provided under Required Readings. Apply the level 1 headings as numbered below:
1) A description of how the systems development life cycle is utilized in your organization (Hospital), or in one with which you are familiar, and assess its effectiveness.
2)
Assess the role of the nurse informaticist in your organization. If.
Integration of Health SystemsNote Before completing this Assign.docxJeniceStuckeyoo
Integration of Health Systems
Note:
Before completing this Assignment, please familiarize yourself with the Week 4 Assignment Rubric, located in the
Course Information
area of the course navigation menu.
Intermountain Healthcare is a high-performing integrated health system with facilities in Utah and Idaho. The health system has a long-standing clinical integration structure that encourages professional collaboration. Despite this, in 1999, many physicians at Intermountain Healthcare found it difficult to fulfill the needs of patients with co-occurring physical and mental health conditions. To efficiently and effectively address this issue, Intermountain Healthcare adopted a mental health integration model in many of its primary care facilities, as well as some of its specialty clinics and partner clinics. The team-based approach has improved the coordination of services, resulting in higher quality care at a savings of cost
.
Consider the example above. What advantages does integration afford Intermountain Healthcare? Do other integrated health systems experience similar benefits? Are there disadvantages to integration? If so, what are they?
To prepare for this Assignment,
review the information related to vertical and horizontal integration presented in the Learning Resources.
Select
one
of the following
horizontally integrated
health systems:
National Surgical Hospitals
Select Medical Healthcare
Sunrise Senior Living
Labcorp
Quest Diagnostics
Pfizer Pharmaceuticals
Also select
one
of the following
vertically integrated
health systems:
Kaiser Permanente
Mayo Clinic
Cleveland Clinic
MedStar Health
Memorial Hermann Healthcare System Houston
As an alternative, you may use Becker’s Hospital Review resource to identify a vertically integrated health system.
Using the Walden Library and credible sources on the Internet, research your selected health systems. Investigate the rationale for pursuing integration and the strategies each health system has used to achieve integration. Note information related to the size of each health system, settings/locations, and types of services it provides.
Based on your research, consider the ways in which the
two
health systems are similar to and/or different from one another.
Assess the business and health care-related implications of horizontal and vertical integration of your selected health systems. How does integration impact the management of your selected organizations and the patients/consumers they serve, especially in terms of cost, quality, and access?
Consider any applicable insights you have gained through the Discussion for this week.
The Assignment
Write a paper in which you:
Compare the horizontally integrated health system and the vertically integrated health system you have selected (e.g., size, settings/locations, and types of services).
Explain each health system’s rationale for pursuing integration and the strategies it has used to achieve integration.
Assess the business and.
Due in 5 hours strictly-300 wordsVertical and Horizontal Integra.docxhasselldelisa
Due in 5 hours strictly-300 words
Vertical and Horizontal Integration of Health Systems in Various Regions
Post your responses to the Discussion based on the course requirements.
Your Discussion postings should be written in standard edited English and follow APA guidelines as closely as possible given the constraints of the online platform. Be sure to support your work with specific citations from this week’s Learning Resources and additional scholarly sources as appropriate. Initial postings must be 250–350 words (not including references).
A 58-year-old man needs to have his blood tested on a regular basis so his physician can monitor the effects of the anticoagulant (blood thinner) medication he is currently taking. He usually has his blood drawn at his local lab in San Francisco, California. While traveling on business in Portland, Oregon, he is able to have his blood drawn on the specified day at another Labcorp location. Labcorp operates an extensive network of 1,700 laboratories across the United States, so lab results can be communicated to the patient’s physician from any location.
Geisinger Health System serves an area with 2.6 million people in northeastern and central Pennsylvania. As an integrated health system, it provides coordinated care to meet the wide-ranging needs of patients. The advanced use of information technology has been critical for facilitating communication, reducing duplication of services, and improving the patient experience along the care continuum. Consisting of numerous clinical facilities and a health insurance company, Geisinger Health System offers an innovative approach to care delivery that it hopes will become a national model.
Integration is an organizing principle for care delivery intended to promote better health outcomes and greater clinical and financial accountability. Labcorp’s horizontal integration is a growth strategy that reduces competition from other companies. Geisinger’s vertical integration is a diversification strategy that links a continuum of services to increase the comprehensiveness of care.
In Module 3, you examined the varied services a patient may need and researched health care organizations that provide those services in your geographic area. In this Discussion, you will examine how integration affects the delivery of care in your community.
To prepare for this Discussion, review the information related to horizontal and vertical integration in the Learning Resources, including the information in the Shi and Singh (2015) textbook and the journal articles.
Next, research integrated health systems in your geographic area. If you find that one or more of the settings you identified for your Module 3 Assignment are part of an integrated system, you may further research the setting(s) for this Discussion.
Select
one vertically integrated health system
and
one horizontally integrated health system
in your geographic area on which to focus for this Discussion.
Continue resea.
A Nurse’s Role in the Systems Development Life CycleWhile the proc.docxJospehStull43
A Nurse’s Role in the Systems Development Life Cycle
While the process of developing and implementing a health information technology system may seem overwhelming at first, the systems development life cycle (SDLC) provides organizations with a framework to deliver efficient and effective information systems. Though the SDLC is a common overarching structure for implementing information systems, it is not a one-size-fits-all process. In fact, there are a multitude of approaches that can be used to guide the systems development life cycle. The SDLC approach that is most appropriate for a particular organization will be highly contextual and subject to organization-specific differences.
This week prompts you to analyze the process of selecting an appropriate health information technology and then evaluate techniques that positively impact the steps of the systems development life cycle in an EHR implementation. You also determine what barriers might occur at each stage and how these could be overcome.
Learning Objectives
Students will:
Analyze how a nurse can contribute to each stage of the systems development life cycle
Photo Credit: Jose Luis Pelaez Inc]/[Brand X Pictures]/Getty ImagesCredit
Learning 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.
Required Readings
McGonigle, D., & Mastrian, K. G. (2015).
Nursing informatics and the foundation of knowledge
(3rd ed.). Burlington, MA: Jones and Bartlett Learning.
Chapter 10, “Systems Development Life Cycle: Nursing Informatics and Organizational Decision Making”
This chapter explains the systems development life cycle and explores various methods of applying it. The chapter also examines the importance of interoperability in implementing HITECH.
Chapter 11, “Administrative Information Systems”
This chapter provides an overview of agency-based health information systems. The text also details how administrators can use core business systems in their practice.
Boswell, R. A. (2011). A physician group’s movement toward electronic health records: A case study using the transtheoretical model for organizational change.
Consulting Psychology Journal: Practice and Research, 63
(2), 138–148.
Retrieved from the Walden Library databases.
The authors of this article present a case study on an EHR implementation in a multispecialty physician group. The case study attempts to determine actions that promote successful EHR implementation and the pros and cons of implementation.
Hsiao, J., Chang, H., & Chen, R. (2011).A study of factors affecting acceptance of hospital information systems: A nursing perspective.
Journal of Nursing Research, 19
(2), 150–160.
Retrieved from the Walden Library databases.
The focus of this article is to determine what factors are most important in predicting the acceptance of new health information technology. The results of the study indicated .
Paper Innovative Nursing Care Delivery (750 words min)Innovat.docxbunyansaturnina
Paper: Innovative Nursing Care Delivery (750 words min)
Innovative Nursing Care Model; Development/Implementation Team for Innovative Nursing Care Model; Evaluation of Model: Outcome Measurement
Read the two (2) articles below:
Norlander, L. (Ed.). (2011). Transformational models of nursing across different care settings. Report: The future of nursing: Leading change, advancing health (Appendix G). Washington, DC: National Academy of Sciences, Institute of Medicine.
NOTE: For this assignment, ignore curriculi/nurse education models
Hughes, F. (2006). Nurses at the forefront of innovation. International Nursing Review, 53, 94-101.
Baccalaureate-prepared nurses are expected to function as managers, educators, collaborators, advocates, and leaders within a variety of settings. These articles describe a variety of innovative or "transformational" models in nurse-managed care across various care settings. Another source of ideas are the vignettes and case studies found in: Global Health 101 Richard Skolnik Burlington, MA: Jones & Bartlett Learning, 3rd Edition, 2016.
For this paper, you will develop an innovative nursing care delivery model for a vulnerable population, care specialty, and setting in the United States OR a low income global country that reflects nurse managed care, collaboration, care across settings, and technology.
For your paper, it is easiest to focus on one (1) population, one (1) health issue/disease, and one (1) type of setting within a country. Be specific. If you use a low income country, name your low income country (see list at the end of this) and adjust your model to the disease(s) and conditions found within that country. Consider that low income countries will not have access to the same level of facilities, technology related to diagnostics and communication, medications, and the health care professionals found in the U.S.
-A vulnerable population include low income children & adults; elderly; homeless; migrants; immigrants; racial & ethnic minorities, people with chronic health or terminal conditions/diseases (or any group at risk for obtaining appropriate health care).
-A care specialty include preventative care; primary care; acute care; chronic care; palliative or end-of-life care (including the targeting of any disease or condition that results in a health risk).
-A setting include rural or urban community housing and/or clinic; school; specialty unit in a hospital; emergency room; health provider office; armed services facility; rehabilitation facility; hospice facility; ambulatory health care center; client home; nursing home; short term stay housing (or any setting where a vulnerable client/patient population is available for care).
LIST OF SELECTED COUNTRIES
African Republic Algeria
Angola
Dem Rep of Congo Ethiopia
Ghana Madagascar Malawi Mozambique Niger Senegal Sierra Leone South Africa Uganda Zambia Zimbabwe
Bolivia Ecuador Guatemala Haiti Nicaragua Peru
Afghanistan Egypt
Iraq Morocco Somalia.
Rules for my assignments1. Kindly follow APA format (American Psy.docxkathyledlow2rr
Rules for my assignments:
1. Kindly follow APA format (American Psychology Association 6
th
edition) for the citation and references! References should be between the period of 2011 and 2016…
2. Please utilize the references I posted below…
3. 2-3 pages
Transitioning From Closed to Open Systems
How do effective nurse leaders and others approach problem solving and decision making in organizations? As suggested in this week’s Learning Resources, systems theory provides a valuable way to assess situations and prepare to address problems.
For this week’s Discussion, you identify an issue or process that could be improved and apply knowledge and strategies related to systems theory.
Note:
You may find it helpful to view the Assignment instructions and use the same problem for this Discussion.
To prepare:
·
Review the information presented in this week’s Learning Resources on systems theory and the difference between open and closed systems.
·
Reflect on the practices and processes with which you are familiar in your organization. Identify one problematic issue or process that could be improved.
·
Consider the problem from a closed-system perspective. Then think about how the issue or process you selected could be addressed by viewing it from an open-system perspective. How would the transition from a closed- to an open-system view help you and others to address the problem and improve outcomes?
Please answer these questions for my assignment:
1.
Description of the problem that you identified in your selected organization.
2.
Explain the problem from a closed-system perspective.
3.
Then, describe how the problem could be addressed by viewing it from an open-system perspective, and explain how this modification would help you and others improve health care outcomes.
4.
Conclusion/Summary
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
·
Marquis, B. L., & Huston, C. J. (2015).
Leadership roles and management functions in nursing: Theory and application
(8th ed.). Philadelphia, PA: Lippincott, Williams & Wilkins.
o
Review Chapter 7, “Strategic and Operational Planning”
See especially Figure 7.1 on page 147.
o
Chapter 8, “Planned Change”
§
Organizational Change Associated With Nonlinear Dynamics (pp. 172–176)
Read this section of Chapter 8 on planned change. Consider the role of leaders in effectively managing planned change.
o
Chapter 12, “Organizational Structure”
§
“Organizational Culture” (pp. 274–276)
There are many structures organizations take, and these structures influence how the organization functions. This chapter discusses many different organizational structures and provides insights into how these structures influence the change process, as well as leadership and management.
·
Johnson, J. K., Miller, S. H., & Horowitz, S. D. (2008). Systems-based practice: Impr.
The Nurse Leader as Knowledge WorkerHenry Ehizokhale.docxarnoldmeredith47041
The Nurse Leader as Knowledge Worker
Henry Ehizokhale
Walden University
Transforming Nursing And Health Through Technology
NURS 6051
Nov 27, 2019
1
The Nurse Leader as Knowledge Worker
2
Purpose
Explain the concept of a knowledge worker.
Define and explain nursing informatics and highlight the role of a nurse leader as a knowledge worker.
The concept of a knowledge worker
The term “knowledge worker” was first coined by Peter Drucker. Ducker defined knowledge workers as high-level workers who apply theoretical and analytical knowledge, acquired through formal training, to develop products and services (CFI, 2019). He emphasized that due to the high level of productivity and creativity of knowledge worker, that they would be the most valuable assets in the 21st century organization. Professionals that can be referred to as knowledge worker includes engineers, pharmacists, architects, financial analysts, public accountants, physicians, scientists, design thinkers, and lawyers. Furthermore, knowledge workers have a high degree of expertise, experience, education and the primary purpose of their jobs involve the distribution, creation and application of knowledge.
3
Definition of a knowledge worker by Peter Drucker
Professional that are referred to as knowledge worker
Nursing Informatics
Nursing Informatics is a subset of informatics, specific to the nursing field and the role of the nurse in the healthcare setting. There has been several interpretation of nursing informatics. The American Nurses Association (ANA), identified nursing informatics as a specialty that integrates nursing, science, computer science, and information science to manage and communicate data, information, and knowledge in nursing practice (ANA, 2001, pg.17).
4
Nurse leader as a knowledge worker.
A nurse leader is one who inspire others to work together to achieve a common goal, for instance enhanced patient care or satisfaction. All nurses are called to nurse leadership, however there are different levels of nurse leadership. Nurse leaders are expected to help the organization to fulfill the organization’s mission, vision, values, and strategies to achieve long-range plans. Nurse leaders part take in policy setting, overseeing quality measures are carried out, accountability for overall quality of patient care delivery, staff satisfaction and organizational outcomes. For a nurse leader as a knowledge worker to be productive in an organization, the nurse leader must understand that knowledge work requires continuous learning on the part of the knowledge worker, but equally continuous teaching on the part of the knowledge worker. Having said that, a knowledge worker nurse leader will depend hugely on evidenced based practice to be productive in a healthcare organization. The use of EBP by knowledge worker nurse leader will require learning and teaching. Most healthcare organizations or hospitals rely on evidenced based.
This PowerPoint presentation is about Achieving Nursing Excellence thru Shared Governance. This is a partial requirement for PhD in Nursing class for the subject of Governance in Health Care Practice under Philippine Women's University, Philippines.
Discussion The Systems Development Life Cycle and the Nurse Infor.docxmickietanger
Discussion: The Systems Development Life Cycle and the Nurse Informaticist
The systems development life cycle (SDLC) is a model for planning and implementing change within an organization. It is important for many individuals to be represented in the process, especially the end users of the system or the employees who must live with the change. As informatics become more and more widespread throughout the health care field, collaboration between information technology (IT) professionals and health care practitioners is becoming increasingly important. The nurse informaticist is able to combine the perspective of the information technology side with the clinical nursing perspective.
While the titles and specific responsibilities of nurse informaticists vary across organizations and practice settings, the fundamental purpose of the role remains the same. Nurse informaticists synthesize their knowledge of how technology can improve health care with an understanding of clinical practice and workflow. This is why nurse informaticists can be instrumental in facilitating the SDLC for informatics in health care. For this Discussion, you examine the relationship between the nurse informaticist and the use of the SDLC.
To prepare:
Review the information in this week’s Learning Resources on the SDLC and the role of the nurse informaticist. Reflect on Chapter 1 of the Dennis, Wixom, and Roth course text and consider how the information about the systems analyst role translates into nursing and health care.
Consider a recent change in your organization related to the implementation of a new technology or system. How was this change handled? What was the general SDLC process? Who was involved, and what were the outcomes?
Identify whether your organization (or one with which you are familiar) has a formal title or position for the nurse informaticist. This position may be called by a different name, such as nurse informatics specialist or informatics analyst, so be sure to review the position description.
If your organization has a position for the nurse informaticist, what are the responsibilities of that position? If your organization does not have such a position, conduct research in the Walden Library and at credible online sources on the role of the nurse informaticist.
Reflect on the role of the nurse informaticist in the overall health care field. How is this position connected to the SDLC? Assess the benefits of having this specialized position within health care organizations and involving the nurse informaticist in the SDLC.
Post by tomorrow 8/30/16 550 words in APA format with a minimum of 3 references from the list provided under Required Readings. Apply the level 1 headings as numbered below:
1) A description of how the systems development life cycle is utilized in your organization (Hospital), or in one with which you are familiar, and assess its effectiveness.
2)
Assess the role of the nurse informaticist in your organization. If.
Integration of Health SystemsNote Before completing this Assign.docxJeniceStuckeyoo
Integration of Health Systems
Note:
Before completing this Assignment, please familiarize yourself with the Week 4 Assignment Rubric, located in the
Course Information
area of the course navigation menu.
Intermountain Healthcare is a high-performing integrated health system with facilities in Utah and Idaho. The health system has a long-standing clinical integration structure that encourages professional collaboration. Despite this, in 1999, many physicians at Intermountain Healthcare found it difficult to fulfill the needs of patients with co-occurring physical and mental health conditions. To efficiently and effectively address this issue, Intermountain Healthcare adopted a mental health integration model in many of its primary care facilities, as well as some of its specialty clinics and partner clinics. The team-based approach has improved the coordination of services, resulting in higher quality care at a savings of cost
.
Consider the example above. What advantages does integration afford Intermountain Healthcare? Do other integrated health systems experience similar benefits? Are there disadvantages to integration? If so, what are they?
To prepare for this Assignment,
review the information related to vertical and horizontal integration presented in the Learning Resources.
Select
one
of the following
horizontally integrated
health systems:
National Surgical Hospitals
Select Medical Healthcare
Sunrise Senior Living
Labcorp
Quest Diagnostics
Pfizer Pharmaceuticals
Also select
one
of the following
vertically integrated
health systems:
Kaiser Permanente
Mayo Clinic
Cleveland Clinic
MedStar Health
Memorial Hermann Healthcare System Houston
As an alternative, you may use Becker’s Hospital Review resource to identify a vertically integrated health system.
Using the Walden Library and credible sources on the Internet, research your selected health systems. Investigate the rationale for pursuing integration and the strategies each health system has used to achieve integration. Note information related to the size of each health system, settings/locations, and types of services it provides.
Based on your research, consider the ways in which the
two
health systems are similar to and/or different from one another.
Assess the business and health care-related implications of horizontal and vertical integration of your selected health systems. How does integration impact the management of your selected organizations and the patients/consumers they serve, especially in terms of cost, quality, and access?
Consider any applicable insights you have gained through the Discussion for this week.
The Assignment
Write a paper in which you:
Compare the horizontally integrated health system and the vertically integrated health system you have selected (e.g., size, settings/locations, and types of services).
Explain each health system’s rationale for pursuing integration and the strategies it has used to achieve integration.
Assess the business and.
Due in 5 hours strictly-300 wordsVertical and Horizontal Integra.docxhasselldelisa
Due in 5 hours strictly-300 words
Vertical and Horizontal Integration of Health Systems in Various Regions
Post your responses to the Discussion based on the course requirements.
Your Discussion postings should be written in standard edited English and follow APA guidelines as closely as possible given the constraints of the online platform. Be sure to support your work with specific citations from this week’s Learning Resources and additional scholarly sources as appropriate. Initial postings must be 250–350 words (not including references).
A 58-year-old man needs to have his blood tested on a regular basis so his physician can monitor the effects of the anticoagulant (blood thinner) medication he is currently taking. He usually has his blood drawn at his local lab in San Francisco, California. While traveling on business in Portland, Oregon, he is able to have his blood drawn on the specified day at another Labcorp location. Labcorp operates an extensive network of 1,700 laboratories across the United States, so lab results can be communicated to the patient’s physician from any location.
Geisinger Health System serves an area with 2.6 million people in northeastern and central Pennsylvania. As an integrated health system, it provides coordinated care to meet the wide-ranging needs of patients. The advanced use of information technology has been critical for facilitating communication, reducing duplication of services, and improving the patient experience along the care continuum. Consisting of numerous clinical facilities and a health insurance company, Geisinger Health System offers an innovative approach to care delivery that it hopes will become a national model.
Integration is an organizing principle for care delivery intended to promote better health outcomes and greater clinical and financial accountability. Labcorp’s horizontal integration is a growth strategy that reduces competition from other companies. Geisinger’s vertical integration is a diversification strategy that links a continuum of services to increase the comprehensiveness of care.
In Module 3, you examined the varied services a patient may need and researched health care organizations that provide those services in your geographic area. In this Discussion, you will examine how integration affects the delivery of care in your community.
To prepare for this Discussion, review the information related to horizontal and vertical integration in the Learning Resources, including the information in the Shi and Singh (2015) textbook and the journal articles.
Next, research integrated health systems in your geographic area. If you find that one or more of the settings you identified for your Module 3 Assignment are part of an integrated system, you may further research the setting(s) for this Discussion.
Select
one vertically integrated health system
and
one horizontally integrated health system
in your geographic area on which to focus for this Discussion.
Continue resea.
Antibiotic Stewardship by Anushri Srivastava.pptxAnushriSrivastav
Stewardship is the act of taking good care of something.
Antimicrobial stewardship is a coordinated program that promotes the appropriate use of antimicrobials (including antibiotics), improves patient outcomes, reduces microbial resistance, and decreases the spread of infections caused by multidrug-resistant organisms.
WHO launched the Global Antimicrobial Resistance and Use Surveillance System (GLASS) in 2015 to fill knowledge gaps and inform strategies at all levels.
ACCORDING TO apic.org,
Antimicrobial stewardship is a coordinated program that promotes the appropriate use of antimicrobials (including antibiotics), improves patient outcomes, reduces microbial resistance, and decreases the spread of infections caused by multidrug-resistant organisms.
ACCORDING TO pewtrusts.org,
Antibiotic stewardship refers to efforts in doctors’ offices, hospitals, long term care facilities, and other health care settings to ensure that antibiotics are used only when necessary and appropriate
According to WHO,
Antimicrobial stewardship is a systematic approach to educate and support health care professionals to follow evidence-based guidelines for prescribing and administering antimicrobials
In 1996, John McGowan and Dale Gerding first applied the term antimicrobial stewardship, where they suggested a causal association between antimicrobial agent use and resistance. They also focused on the urgency of large-scale controlled trials of antimicrobial-use regulation employing sophisticated epidemiologic methods, molecular typing, and precise resistance mechanism analysis.
Antimicrobial Stewardship(AMS) refers to the optimal selection, dosing, and duration of antimicrobial treatment resulting in the best clinical outcome with minimal side effects to the patients and minimal impact on subsequent resistance.
According to the 2019 report, in the US, more than 2.8 million antibiotic-resistant infections occur each year, and more than 35000 people die. In addition to this, it also mentioned that 223,900 cases of Clostridoides difficile occurred in 2017, of which 12800 people died. The report did not include viruses or parasites
VISION
Being proactive
Supporting optimal animal and human health
Exploring ways to reduce overall use of antimicrobials
Using the drugs that prevent and treat disease by killing microscopic organisms in a responsible way
GOAL
to prevent the generation and spread of antimicrobial resistance (AMR). Doing so will preserve the effectiveness of these drugs in animals and humans for years to come.
being to preserve human and animal health and the effectiveness of antimicrobial medications.
to implement a multidisciplinary approach in assembling a stewardship team to include an infectious disease physician, a clinical pharmacist with infectious diseases training, infection preventionist, and a close collaboration with the staff in the clinical microbiology laboratory
to prevent antimicrobial overuse, misuse and abuse.
to minimize the developme
Explore our infographic on 'Essential Metrics for Palliative Care Management' which highlights key performance indicators crucial for enhancing the quality and efficiency of palliative care services.
This visual guide breaks down important metrics across four categories: Patient-Centered Metrics, Care Efficiency Metrics, Quality of Life Metrics, and Staff Metrics. Each section is designed to help healthcare professionals monitor and improve care delivery for patients facing serious illnesses. Understand how to implement these metrics in your palliative care practices for better outcomes and higher satisfaction levels.
R3 Stem Cells and Kidney Repair A New Horizon in Nephrology.pptxR3 Stem Cell
R3 Stem Cells and Kidney Repair: A New Horizon in Nephrology" explores groundbreaking advancements in the use of R3 stem cells for kidney disease treatment. This insightful piece delves into the potential of these cells to regenerate damaged kidney tissue, offering new hope for patients and reshaping the future of nephrology.
CHAPTER 1 SEMESTER V PREVENTIVE-PEDIATRICS.pdfSachin Sharma
This content provides an overview of preventive pediatrics. It defines preventive pediatrics as preventing disease and promoting children's physical, mental, and social well-being to achieve positive health. It discusses antenatal, postnatal, and social preventive pediatrics. It also covers various child health programs like immunization, breastfeeding, ICDS, and the roles of organizations like WHO, UNICEF, and nurses in preventive pediatrics.
Leading the Way in Nephrology: Dr. David Greene's Work with Stem Cells for Ki...Dr. David Greene Arizona
As we watch Dr. Greene's continued efforts and research in Arizona, it's clear that stem cell therapy holds a promising key to unlocking new doors in the treatment of kidney disease. With each study and trial, we step closer to a world where kidney disease is no longer a life sentence but a treatable condition, thanks to pioneers like Dr. David Greene.
ICH Guidelines for Pharmacovigilance.pdfNEHA GUPTA
The "ICH Guidelines for Pharmacovigilance" PDF provides a comprehensive overview of the International Council for Harmonisation of Technical Requirements for Pharmaceuticals for Human Use (ICH) guidelines related to pharmacovigilance. These guidelines aim to ensure that drugs are safe and effective for patients by monitoring and assessing adverse effects, ensuring proper reporting systems, and improving risk management practices. The document is essential for professionals in the pharmaceutical industry, regulatory authorities, and healthcare providers, offering detailed procedures and standards for pharmacovigilance activities to enhance drug safety and protect public health.
Telehealth Psychology Building Trust with Clients.pptxThe Harvest Clinic
Telehealth psychology is a digital approach that offers psychological services and mental health care to clients remotely, using technologies like video conferencing, phone calls, text messaging, and mobile apps for communication.
Global launch of the Healthy Ageing and Prevention Index 2nd wave – alongside...ILC- UK
The Healthy Ageing and Prevention Index is an online tool created by ILC that ranks countries on six metrics including, life span, health span, work span, income, environmental performance, and happiness. The Index helps us understand how well countries have adapted to longevity and inform decision makers on what must be done to maximise the economic benefits that comes with living well for longer.
Alongside the 77th World Health Assembly in Geneva on 28 May 2024, we launched the second version of our Index, allowing us to track progress and give new insights into what needs to be done to keep populations healthier for longer.
The speakers included:
Professor Orazio Schillaci, Minister of Health, Italy
Dr Hans Groth, Chairman of the Board, World Demographic & Ageing Forum
Professor Ilona Kickbusch, Founder and Chair, Global Health Centre, Geneva Graduate Institute and co-chair, World Health Summit Council
Dr Natasha Azzopardi Muscat, Director, Country Health Policies and Systems Division, World Health Organisation EURO
Dr Marta Lomazzi, Executive Manager, World Federation of Public Health Associations
Dr Shyam Bishen, Head, Centre for Health and Healthcare and Member of the Executive Committee, World Economic Forum
Dr Karin Tegmark Wisell, Director General, Public Health Agency of Sweden
Navigating Challenges: Mental Health, Legislation, and the Prison System in B...Guillermo Rivera
This conference will delve into the intricate intersections between mental health, legal frameworks, and the prison system in Bolivia. It aims to provide a comprehensive overview of the current challenges faced by mental health professionals working within the legislative and correctional landscapes. Topics of discussion will include the prevalence and impact of mental health issues among the incarcerated population, the effectiveness of existing mental health policies and legislation, and potential reforms to enhance the mental health support system within prisons.
Navigating Challenges: Mental Health, Legislation, and the Prison System in B...
Nursing and Area of Specialty Discussion HW.pdf
1. Nursing and Area of Specialty Discussion HW
Nursing and Area of Specialty Discussion HWNursing and Area of Specialty Discussion
HWThese are the discussion questions: Many of you have experience in complex adaptive
systems whether you realize it or not. Thinking about your future practice specialty area,
identify an issue or concern common to your future practice setting. In your initial response,
please identify your specialty track, as well as the issue or concern. Discuss how this issue
or concern impacts the system at the micro, meso, and macro levels. How will you address
this issue or concern at the microsystem level? What is the expected impact of your solution
on the meso- and macrosystems? Remember you can use an information technology-based
solution to address the issue or concern. Please use my following clue to write a two
paragraph discussion, more than 300 words. 1, Answer every question 2, Make sure you
read the study materials attached especially in red color, and understand definitions of
microsystem, mesosystem, and macrosystem. 3,my future microsystem: Patients, care
teams in the department of surgery 4, my future mesosystem: Department of medicine 5,
my future macrosystem: Chief finantial officer 6 , Use at least 2 outside reference in APA
style Clue: My specialty area is Nursing Education. I work in the department of surgery right
now, and I plan to be an educator in the same department after I graduate. There is a
concern that is common: Staff including doctors, nurses and technicians tend to waste
medical equipment and supplies. ( Sometimes they open by mistake, and then throw it
away. They should check the procedure and make sure what exact equipment they are
going to use, some of these equipment are not cheap. Also, nurses open new equipment kit
to learn how to use it every time they teach a new nurse or technician. Nursing and Area of
Specialty Discussion HWORDER NOW FOR CUSTOMIZED, PLAGIARISM-FREE PAPERSThey
should find a way to save all the kits and reuse it. Also, many times nurses didn’t stop
patient care technician throw away the dirty gown and linen into trash bag, they should put
it in linen bag.) Healthcare systems in the 21st century are complex, fluid, and flexible. The
complex nature of current and future health care systems shapes the nurse’s knowledge and
skills needed to practice in the system. The American Association of Colleges of Nursing
(AACN) emphasizes that master’s-prepared advanced practice nurses must have
foundational knowledge and skills in complexity science and systems thinking to
communicate effectively and improve practice outcomes (2011). The National League for
Nurses also explain the importance of using systems thinking to facilitate interprofessional
team function and to optimal health outcomes (2010). This week, students will be
introduced to complex adaptive systems. Different levels of systems will be introduced with
2. an emphasis on systems thinking skills needed to flourish in complex adaptive systems.
Systems-Structure and Function Several definitions of healthcare systems exist. The
definition of healthcare systems may vary depending on geographical location and practice
setting. Geographically and on a global scale, the U. S. healthcare system is a mixed method
payer system comprised of Medicare and Medicaid and private payer systems. In other
countries, such as Australia and Canada to name a few, the healthcare system is universal in
which all citizens are provided some equitable form of access to healthcare whether that
country offers it at no cost or on a fee-based cost to its citizens (Torabi et al., 2014).
Healthcare systems can also be defined as structures or organizations that directly or
indirectly influence health care through the delivery of services or the provision of care
(Mensik, 2014), including but not limited to hospitals, health insurance companies,
community-based care organizations, academic institutions, health insurance companies,
pharmaceutical companies, technology companies, and legislative settings. These systems
are comprised of components such as organizations, departments, and units (Mensik,
2014). The systems can further be classified by levels: mesosystems, macrosystems, and
microsystems. Regardless of specialty area, master’s-prepared advanced practice nurses
work in systems. Understanding the systems and learning skills and attitudes that can help
navigate the system will have a great impact on practice outcomes. Systems Theory Systems
theory views a healthcare organization as a dynamic, complex set of intertwined elements
continuously interacting with the environment in which it operates. A system takes inputs
from the open environment in the form of various energy sources such as money, raw
materials, information, and patients. A system then transforms the inputs via throughput
processes and exports the products into the open environment in the form of outputs.
Throughput occurs when the organization creates a new product, trains staff members,
processes materials, or provides services to patients. These activities entail some
reorganization of input. Systems export some products into the environment. For
healthcare organizations, outputs consist of patients, insurance reimbursement, staff and
patient outcomes, and so forth. The product exported into the environment provides the
sources of energy for the replication of the cycle of activities (Marquis & Huston, 2017).
Systems theory views a healthcare organization as multidimensional in their assumptions
about cause-and-effect relationships. A change in any element of the healthcare system
causes changes in other elements of the system (Marquis & Huston, 2017). Furthermore, the
pattern of activities of the energy exchanged within healthcare organizations has a cyclic
character. The energy creating the cycle of activities is either derived from an exchange of
the product in the external environment or the activity itself. Micro-, Meso-, and
Macrosystems Organization systems can be further divided into different levels: micro-,
meso-, and macrosystems. Nursing and Area of Specialty Discussion HWThe systems can be
viewed as unit, department, organization, or more globally as department, organization, and
community. Each system level requires new adaptive responses from leaders to create an
optimal practice environment conducive to quality outcomes. Microsystem: The inner core
level represents a department within an organization such as the school of nursing within a
college. In the healthcare organization, it is represented by patient care units where
patients, their families, and care teams meet to create a collaborative approach to care
3. delivery. The microsystem is where pointof-care or direct services are provided.
Mesosystem: The second level represents either an organization such as a college, hospital,
or community-based care organization. It can also represent the major divisions within the
healthcare organization such as the department of nursing, department of medicine, and
clinical service programs such as women’s health programs, oncology, neuroscience, and
orthopedics. The mesosystem is managed by nurse managers and directors. Macrosystem:
This system level is the highest level. This level represents the community or an entire
organization. At the community level, leaders include government entities, regulatory
agencies, and professional organizations. At the organizational level, leaders include the
chief executive officer, president, chief financial officer, and chief operations officer.
Example: Nursing education programs are complex adaptive systems within a larger
educational institution. An educational institution is a complex adaptive system with a
community. The educational institution has an internal system and the community is an
external system to the educational institution. Changes occurring within the nursing
education program (microsystem) affect activities and outcomes in the educational
institution (mesosystem). Likewise, changes in the greater community (macrosystem) can
influence activities and outcomes in the nursing educational program (microsystem).
Systems Thinking The master’s-prepared nurse has the skills and knowledge to flourish in a
complex adaptive system through the examination of patterns and relationships of health
care delivery. Change related to emerging new patterns is an ongoing occurrence in
complex adaptive systems. The master’s-prepared advance practice nurse must possess
change management and decision-making skills to help guide the change process and lead
interprofessional teams. Systems thinking shifts the focus from individual roles and
functions to collective systems internal and external to an organization (Crowell, 2015).
McCormack and McCance (2017) emphasize the importance of creating collaborative,
inclusive, and participative ways of working within systems to promote relationships and
engagement in decision making that promotes person-centered outcomes. Understanding
the interconnections within systems, change leaders seek input from multiple diverse
entities, embrace diversity and innovation, and form relationships that drive and ongoing
interactions and dynamic change within systems (Lis, Hanson, Burgermeister, & Banfield,
2014). Master’s-prepared advance practice nurses also have creative thinking and inquiry
skills. Nursing and Area of Specialty Discussion HWThinking outside the box allows for
recognition of patterns and interconnections and the impact change will have within a
system (Lis et al., 2014). Complexity Science Historically, mechanistic theory, based on the
assumption that organizations run like machines, influenced thoughts on organizations.
Stability was a foundational principle as organizations were thought to be static, structured,
orderly, and linear. Likewise, organizational changes were predictable, planned, and
controlled. This mechanistic approach prevails in traditional hierarchical hospitals and
institutions, in which value is placed on inflexible structures rather than complex adaptive
structures (Marshall, 2011). In contemporary organizations, a paradigmatic shift has
occurred, in part due to the technological explosion, expanded knowledge, and increasingly
complex healthcare. With this shift, new ways of understanding organizations as flexible
and fluid systems must be considered. The structure of contemporary organizations can be
4. explained through complexity science which is derived from a collection of ideas from
studies including quantum physics, systems theory, and chaos theory (Crowell, 2015).
Concepts of complexity science include self-organizing systems, multi-dimensionality, and
interconnected relationships (Crowell, 2015). Master’s-prepared advanced practice nurses
engage in complex issues and situations regularly. Complexity science can be used to help
understand the complex nature of healthcare systems. Complex Adaptive Systems Complex
adaptive systems are flexible and fluid in nature. Organizations are adaptive systems that
are integral parts of their environments. They are not static, but rather, are in constantly
shifting states which can create uncertainty and unpredictability. Complex adaptive systems
are learning organizations that embrace uncertainty and can adapt to emerging change.
Master’s prepared advanced practice nurses must become comfortable with ambiguity and
uncertainty and learn to accept, manage, and benefit from uncertainty which encourages
creativity, innovation, and risk taking (National League for Nursing [NLN], 2010) that leads
to emergence of new order and process within the organization. Common characteristics of
complex adaptive systems include: parts of systems interact; new behaviors, patterns, and
ideas emerge from relationships; results are nonlinear and unpredictable; and self-
organization occurs with connective leadership and simple rules (Crowell, 2015). From a
complex adaptive system perspective organizations are living systems. Healthcare and
healthcare related organizations must be open and receptive to the unpredictable, dynamic,
and fluid nature of their environments if they are to survive. Health care in the 21st century
is complex. Patterns and processes of change are dynamic, nonlinear, and fluid. A change in
any element of the healthcare system causes changes in other elements of the system
(Marquis & Huston, 2017). The interconnections within a healthcare system tend to be
dynamic, unpredictable, and constantly emerging. Understanding complexity science and
systems theory master’s-prepared advance practice nurse’s contributions to high-quality
and safe practice outcomes (AACN, 2011).Nursing and Area of Specialty Discussion
HWSystems thinking is foundational to interprofessional leadership in complex healthcare
environments. To flourish in complex adaptive systems, master’s-prepared advanced
practice nurses build upon foundational skills of self-awareness, relationship building, and
creative thinking (Lis et al., 2014) to influence positive change. Many of you have experience
in complex adaptive systems whether you realize it or not. Thinking about your future
practice specialty area, identify an issue or concern common to your future practice setting.
In your initial response, please identify your specialty track, as well as the issue or concern.
Discuss how this issue or concern impacts the system at the micro, meso, and macro levels.
How will you address this issue or concern at the microsystem level? What is the expected
impact of your solution on the meso- and macrosystems? Remember you can use an
information technology-based solution to address the issue or concern. References
American Association of Colleges of Nursing. (2011). The essentials of master’s education in
nursing. Washington, DC: Author. Crowell, D. M. (2015). Complexity leadership: Nursing’s
role in health care delivery (2nd ed.). F.A. Davis Company. Lis, G. A., Hanson, P.,
Burgermeister, D., & Banfield, B. (2014). Transforming graduate nursing education in the
context of complex adaptive systems: Implications for master’s and DNP curricula. Journal
of Professional Nursing, 30(6), 456-462. https://doi.org/10.1016/j.profnurs.2014.05.003
5. Marshall, E.S. (2011). Transformational leadership in nursing. Springer Publishing
Company. Marquis, B.L., & Huston, C.J. (2017). Leadership roles and management functions
in Nursing: Theory and application (9th ed.). Lippincott, Williams, & Wilkins. McCormack, B.
& McCance T. (2017). Person-centred practice in nursing and health care. Theory and
practice (2nd ed.). Wiley Blackwell. Mensik, J. (2014). Lead, drive, & thrive in the system.
Silver Spring, MD: American Nurses Association. National League for Nursing. (2010).
Outcomes and competencies for graduates of practical/vocational, diploma, associate
degree, baccalaureate, master’s, practice doctorate, and research doctorate programs in
nursing. New York, NY: National League for Nursing. Torabi,Nursing and Area of Specialty
Discussion HW