Influencing Multiple Systems Through Evidence-Based Change
As an advance practice nurse, your work is informed by many factors beyond your direct reach, and your influence extends beyond the immediate context in which you labor. Likewise, the changes you propose as a nurse leader are influenced by multiple systems and, in turn, can have an impact on many different groups. One of the ways to distinguish yourself as a leader is to be knowledgeable about these spheres of influence and to promote awareness of the potential effects that may result from a change.
Indeed, with the fluid and persistently evolving nature of change, it is essential that you stay abreast of latest developments that may affect the practice environment. This is especially critical for maintaining or adapting a change once it has been implemented. As discussed in Weeks 8 and 9, you may need to make adjustments based on evaluation of outcomes; in addition, you must also be prepared for adjustments based on developments within or outside your targeted environment.
To prepare:
- What are some possible adjustments that you might need to make based on the evaluation of outcomes? Consider insights from the Discussion in Weeks 8 and 9.
- Consider the evidence-based change you are proposing for your practicum setting: What other systems or components of a system are within the sphere of influence of this change? How could evolving issues internal to the setting, such as budget, staffing shortage, regulations or external to it, such as supply, funding, national priorities, and disasters, affect the implementation—and ultimately the sustainability—of such a change?
- How might your proposed change, in turn, affect policy or practice at other levels beyond your initial focus?
By tomorrow Wednesday 5/1/19 2pm (America/New York time), write a minimum of 550 words essay in APA format with at least 3 references (see list or required readings below). Include the level one headers as numbered below:
Post a cohesive response that addresses the following:
1) Describe at least three evolving issues that are internal or external to your practicum setting that could affect the implementation and sustainability of your proposed change.
2) From what systems level do those issues originate (e.g., organizational, local, state, national, global) and what other systems are then involved in response to that factor?
3) How might your proposed change, in turn, lead to shifts at other levels beyond your initial focus?
Required Readings
White, K. M., & Dudley-Brown, S.(2016). Translation of evidence into nursing and health care practice. (2nd edition) New York, NY: Springer Publishing Company.
- Review Chapter 11 “Information Technology: A Foundation and Enabler for Translation”
- Review Chapter 15 “Best Practices in Translation: Challenges and Barriers in Translation”
Braithwaite, J., Westbrook, M., Nugus, P., Greenfield, D., Travaglia, J., Runciman, W., & … Westbrook, J. (2013). Continuing differences between health professions’ attitudes: the saga of accomplishing systems-wide interprofessionalism. International Journal for Quality in Health Care, 25(1), 8-15. doi: 10.1093/intqhc/mzs071
Hoyle, C., & Johnson, G. (2015). Building skills in organizational and systems change. Nurse Practitioner, 40(4), 15-23. doi:
10.1097/01.NPR.0000461948.38539. fc
Jeungok, C., & Zucker, D. M. (2013). Self-assessment of nursing informatics competencies for Doctor of Nursing practice students. Journal of Professional Nursing, 29(6), 381-387. doi: 10.1016/j.profnurs.2012.05.014
Toussaint, J. S. (2015). The Framework for a Whole-System Transformation. Journal Of Healthcare Management, 60(6), 386-389.
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Inflammatory Bowel Disease Case Study
/in Uncategorized /by developerReview the case study and answer all questions.
APA Format
Include 2 scholarly references
Turn it in Score must be less than 20%
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Influencing Health And Social Policy
/in Uncategorized /by developerInfluencing Health and Social Policy
What are the unmet health care needs you see in your community? What determinants of health are related to these unmet needs and what determinants require action and advocacy efforts? How do your identified issues impact your work and your sphere of influence? Consider some of the following examples that affect communities: various needs of veterans (homelessness, post-traumatic stress), immigration, undocumented workers, medical and/or legalized marijuana, reproductive health care, unemployment, poor environmental conditions, limited access to health care, and lack of heath care. How do these issues impact community health and what is your role in the solution of these issues?
To prepare for this Discussion, review the following:
By Day 3 of Week 5
Post a response to the following:
Note Initial Post: A 3-paragraph (at least 350 words) response. Be sure to use evidence from the readings and include in-text citations. Utilize essay-level writing practice and skills, including the use of transitional material and organizational frames. Avoid quotes; paraphrase to incorporate evidence into your own writing. A reference list is required. Use the most current evidence (usually less than or equal to 5 years old).
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Influencing Health Care Through Advocacy
/in Uncategorized /by developerChoose a legislator on the state/federal level who is also a nurse and discuss the importance of the nurse’s role as advocate for improving health care delivery. What specific bills has the nurse sponsored or supported that have influenced health care.
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Influencing Multiple Systems Through Evidence Based Change
/in Uncategorized /by developerInfluencing Multiple Systems Through Evidence-Based Change
As an advance practice nurse, your work is informed by many factors beyond your direct reach, and your influence extends beyond the immediate context in which you labor. Likewise, the changes you propose as a nurse leader are influenced by multiple systems and, in turn, can have an impact on many different groups. One of the ways to distinguish yourself as a leader is to be knowledgeable about these spheres of influence and to promote awareness of the potential effects that may result from a change.
Indeed, with the fluid and persistently evolving nature of change, it is essential that you stay abreast of latest developments that may affect the practice environment. This is especially critical for maintaining or adapting a change once it has been implemented. As discussed in Weeks 8 and 9, you may need to make adjustments based on evaluation of outcomes; in addition, you must also be prepared for adjustments based on developments within or outside your targeted environment.
To prepare:
By tomorrow Wednesday 5/1/19 2pm (America/New York time), write a minimum of 550 words essay in APA format with at least 3 references (see list or required readings below). Include the level one headers as numbered below:
Post a cohesive response that addresses the following:
1) Describe at least three evolving issues that are internal or external to your practicum setting that could affect the implementation and sustainability of your proposed change.
2) From what systems level do those issues originate (e.g., organizational, local, state, national, global) and what other systems are then involved in response to that factor?
3) How might your proposed change, in turn, lead to shifts at other levels beyond your initial focus?
Required Readings
White, K. M., & Dudley-Brown, S.(2016). Translation of evidence into nursing and health care practice. (2nd edition) New York, NY: Springer Publishing Company.
Braithwaite, J., Westbrook, M., Nugus, P., Greenfield, D., Travaglia, J., Runciman, W., & … Westbrook, J. (2013). Continuing differences between health professions’ attitudes: the saga of accomplishing systems-wide interprofessionalism. International Journal for Quality in Health Care, 25(1), 8-15. doi: 10.1093/intqhc/mzs071
Hoyle, C., & Johnson, G. (2015). Building skills in organizational and systems change. Nurse Practitioner, 40(4), 15-23. doi:
10.1097/01.NPR.0000461948.38539. fc
Jeungok, C., & Zucker, D. M. (2013). Self-assessment of nursing informatics competencies for Doctor of Nursing practice students. Journal of Professional Nursing, 29(6), 381-387. doi: 10.1016/j.profnurs.2012.05.014
Toussaint, J. S. (2015). The Framework for a Whole-System Transformation. Journal Of Healthcare Management, 60(6), 386-389.
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Info 19413865
/in Uncategorized /by developerShare your experiences with healthcare information systems, past or present. Has it been an easy transition or difficult? Why do you believe your experience has been positive or negative? If you are currently not working in a healthcare setting, how has the medical record exposure in nursing school impacted your current knowledge?
3 paragraphs, In text citation with references
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Info 3 19423305
/in Uncategorized /by developerStandardized Terminology and Language in Informatics is an important part of healthcare. Nurses and healthcare workers need to understand and be able to communicate clearly. Please select one of the following options and discuss your understanding of the role in healthcare and its potential impact on your practice.
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Info 4 19432015
/in Uncategorized /by developerCase Study: A 65-year-old woman was just been diagnosed with Stage 3 non-Hodgkin’s lymphoma. She was informed of this diagnosis in her primary care physician’s office. She leaves her physician’s office and goes home to review all of her tests and lab results with her family. She goes home and logs into her PHR. She is only able to pull up a portion of her test results. She calls her physician’s office with this concern. The office staff discussed that she had part of her lab work completed at a lab not connected to the organization, part was completed at the emergency room, and part was completed in the lab that is part of the doctor’s office organization.
The above scenario might be a scenario that you have commonly worked with in clinical practice. For many reasons, patients often receive healthcare from multiple organizations that might have different systems.
As you review this scenario, reflect and answer these questions for this discussion.
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Info 5
/in Uncategorized /by developerSelect ONE of the following trends and discuss your understanding of this trend in healthcare and its potential impact on your practice as a nurse. What are the legal, privacy, and ethical considerations of this trend? (Everyone attempt to choose a different topic so that we will learn about the many advancements in technology).
Nanotechnology
Consumer health informatics (CHI)
Social media healthcare applications
Health-focused wearable technology
eHealth
Artificial Intelligence
Simulation
Computerized provider order entry (CPOE)
Bar Code Medication Administration (BCMA)
Creative measures in healthcare for use with 3D printers
Smart Pumps
Smart Rooms
Robotics in healthcare
Mobile technology in outpatient care
Web-based tools and software technology
Risk Management tools
Chatbots or Bots in healthcare
Telenursing
Telemedicine
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Info 8
/in Uncategorized /by developerPrior to posting your answer, complete the Week 8 AACN Essentials Self-Assessment (Links to an external site.) linked here. Compare your scores from Week 1 to Week 8. How far have you come? How will you apply this information to continue to improve your informatics knowledge in nursing practice?
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Info Mil 2
/in Uncategorized /by developerRequired Assigned Topic for the focus of your paper.
• Person with Asthma OR breathing issues. Note: You will use the same scenario you developed and same mHealth app you identified in Week 2.
Requirements and Guidelines
NR361 Milestone 2NR361 Milestone 2CriteriaRatingsPtsThis criterion is linked to a Learning OutcomeDefine: Approved Patient Scenario from Milestone 1Brief statement of the patient scenario from the Milestone 1 assignment, including revisions if required by Milestone 1 faculty feedback.30.0 ptsDefines (states) the brief patient scenario approved from Milestone 1 including excellent details in revisions (if required by Milestone 1 instructor feedback).26.0 ptsDefines (states) the brief patient scenario from Milestone 1 including good details in revisions (if required by Milestone 1 instructor feedback).24.0 ptsDefines (states) the brief patient scenario approved from Milestone 1 including fair details in revisions (if required by Milestone 1 instructor feedback).12.0 ptsDefinition of brief patient scenario is poorly done and/or revisions did not adhere to feedback from instructor on Milestone 10.0 ptsDoes not define (state) the nursing issue.30.0 pts
This criterion is linked to a Learning OutcomeTeach:Identify (3) teaching areas to improve patient outcomes. Information to be taught to patient should include information about the mHealth app, safety guidelines, and how to interpret and act on the information that is provided. Remember to use bullet points.75.0 ptsIdentifies 3 teaching areas to improve patient outcomes. Excellent details includes information about the mHealth app, safety guidelines for mHealth application, and how to interpret and act on the information of the mHealth application. Written in bullet points.66.0 pts
Identifies 3 teaching areas to improve patient outcomes. Good details includes information about the mHealth app, safety guidelines for mHealth application, and how to interpret and act on the information of the mHealth application. Written in bullet points.60.0 ptsIdentifies 2 or 3 teaching areas to improve patient outcomes. Fair data includes information about the mHealth app, safety guidelines for mHealth application, and/or how to interpret and act on the information of the mHealth application. Does not use bullet points or information is not clear.29.0 ptsIdentifies 1-2 teaching areas to improve patient outcomes. Poor data includes information about the mHealth app, safety guidelines for mHealth application, OR how to interpret and act on the information of the mHealth application. Does not use bullet points AND information is not clear.0.0 ptsDid not identify teaching measures to improve patient outcomes.75.0 pts
This criterion is linked to a Learning OutcomeEvaluate:Describe 3 ways you would determine and evaluate the success of the patient’s use of the mHealth app. Cite when appropriate. Remember to use bullet points.75.0 ptsDescribe in excellent detail 3 ways to determine and evaluate the success of the patient’s use of the mHealth app. Written in bullet points.66.0 ptsDescribes in good detail 3 ways to determine and evaluate the success of the patient’s use of the mHealth app. Written in bullet points.60.0 ptsDescribes in fair detail 2-3 ways to determine and evaluate the success of the patient’s use of the mHealth app. May not use bullet points or information is not clear.29.0 ptsDescribes in poor detail 1-2 ways to determine and evaluate the success of the patient’s use of the mHealth app. Does not use bullet points AND information is not clear.0.0 ptsDid not identify ways to evaluate the success of the patient’s use of the mHealth app.75.0 pts
This criterion is linked to a Learning OutcomeCitations and References:Include citations and references for the mHealth application in APA format and a scholarly peer-reviewed journal article related to the patient scenario published within the past 5 years.30.0 ptsExcellent citations and references in APA format for both the mHealth application and the scholarly peer-reviewed journal that is less than 5 years old26.0 ptsGood citations and references with minor errors in APA format for both/either the mHealth application and the scholarly peer-reviewed journal that is less than 5 years old24.0 ptsCitations and references with some errors in APA format for both/either the mHealth application and the scholarly peer-reviewed journal that is less than 5 years old12.0 ptsCitations and references with numerous errors in APA format for the mHealth application and the scholarly peer-reviewed journal.0.0 ptsDid not cite or reference in APA format.30.0 pts
This criterion is linked to a Learning OutcomeWritingcontains no spelling or grammatical errors. Reading level is appropriate for patient described.15.0 ptsGrammar, punctuation, and spelling are correct; Reading level appropriate for patient.13.0 ptsGood mechanics considering the elements listed in the first column12.0 ptsFair mechanics considering the elements listed in the first column.6.0 ptsPoor mechanics considering the elements listed in the first column0.0 ptsVery poor mechanics such that assignment is difficult to read.15.0 pts
This criterion is linked to a Learning OutcomeCorrect Topic and correct Template Use0.0 pts0 points deductedCorrect topic and correct template used for the assignment0.0 pts22.5 points deducted (10%)Incorrect topic OR incorrect/no template used results in a 22.5 point deduction (10%).0.0 pts
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