As stated above, Quality is multidimensional and involves the perspectives of various stakeholders, including patients and families. As noted in this week’s Learning Resources, defining quality is not a simple, straightforward task. Yet, it provides an essential foundation for being able to measure and assess quality, and, ultimately, to improve it.  In this Discussion, you consider definitions and measurements of quality. As you proceed, think about why it is important for organizations to be able to quantify quality and compare current performance to previous performance, to a set of standards, and/or to performance in other organizations.       

By Day 3:  Post a definition of quality for your selected organization.  1.  Describe at least one quality-related measure that is currently being monitored within the organization.  2. Summarize the data collection process for this measure, and explain how this information is communicated to or among the staff.  3.  Identify at least one strength and one weakness related to how quality is defined, measured, and/or monitored within the organization.

Required Readings  Hickey, J. V., & Brosnan, C. A. (2017). Evaluation  of health care quality in for DNPs (2nd  ed.). New York, NY: Springer Publishing Company.  •Chapter 6, “Evaluating of Health Care Information Systems and Patient Care Technology” (pp. 143-170) This chapter examines federally mandated use of health information technology to improve health care and care delivery.   Sadeghi, S., Barzi, A., Mikhail, O., & Shabot, M. (2013). Integrating quality and strategy in health care organizations. Burlington, MA: Jones & Bartlett Learning.  •Review Chapter 3, “General Concepts in Quality” (pp. 45–82) (assigned in Week 4)    The authors discuss historical perspectives of quality in various industries, and explain the multifaceted nature of defining quality in health care settings.     •Chapter 4, “Current State of Quality Measurement: External Dynamics” (pp. 83–98)    This chapter describes many of the government, nonprofit, and for-profit groups / organizations that contribute to the establishment quality standards and support research to improve the quality of health care.     •Chapter 5, “Current State of Quality Measurement: Internal Dynamics” (pp. 99–110)    This chapter focuses on mandatory and voluntary quality measurement in organizations.     •Chapter 6, “Measuring Quality of Inpatient Care” (pp. 111–132)    This chapter explains the terminology use in quality measurement (e.g., measures, indicators, metrics), and notes that measurement is a critical foundation for the ultimate aim of creating effective changes to improve quality.     •Chapter 8, “Quantifying the Quality Performance Gaps” (pp. 161–177)

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As health care consumers, we all expect quality care and positive outcomes. It is important as professionals that we meet these demands of health care consumers. Consider the work of the major theorists you examined in this week’s Resources, and think about how these theories apply to your own experience as a health care customer and/or practitioner.

By Day 3

Post your definition of quality, and apply it to the work of one major quality theorist (e.g., Donabedian, Juran, Deming, Triple Aim (IHI) – Berwick). Identify a practice problem that you have had some experience with as a customer or as a practitioner, and explain how eliminating wasteful practices could have improved the experience. Include how your definition of quality applies to that experience.

Support your response with references from the professional nursing literature. Your posts need to be written at the capstone level (see checklist).

Notes Initial Post: This should be 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 ≤ 5 years old). (Refer to AWE Checklist, Capstone)

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Defining Social Problems
In this course, Design and Evaluation of Programs and Projects, you examine aspects of program planning and evaluation while also engaging in a Practicum Experience. As you do this, you may notice the differing terminologies and approaches that are applied in various circumstances. For instance, you are likely quite familiar with the phrase “health problem” from your previous coursework and professional practice. This Discussion looks at understanding “social problems” as part of a framework for program design. What is the distinction between these terms? Why is it important to notice this divergence?
Problem analysis is a cornerstone for effective program planning and should be conducted at the outset. With this first Discussion, begin to pay close attention to the language and perspectives that will inform your program planning work as you move forward in the course.
 

To prepare:

• Consider      the following scenario:
  • Data from       the Appalachian region show lower numbers of women receiving mammograms       compared to the national average, indicating a need to increase use of       this procedure in this area. However, the data also show that women from       this region are reluctant to participate because of their attitudes       toward mammograms (Royse & Dignan, 2009).
• Review      Chapter 1 of Designing and Managing Programs to be sure      you have a clear understanding of the sequencing of program design and      evaluation, as well as the importance of each element of this process.
• Then,      review Chapter 3. Analyze the scenario above in light of the concepts      presented:
  • Why is it       important to avoid stating the problem as a solution?
  • How does       this scenario illustrate a “social problem”?
  • What       responses to the problem analysis framework questions (pp. 45–49) could       you develop given the information provided?

By tomorrow Tuesday 11/27/18 at 2 pm, write a minimum of 550 words essays in APA format with at least 3 references from the list of REQUIRED READINGS below. Include the level one headers as numbered below:

Post a cohesive scholarly response that addresses the following:

1) Describe three key insights or strategies you would share with your team if you were engaged in planning for a program related to the scenario described above.

2) How do you expect that your intended approach to developing an understanding of social problems could affect program planning? Be sure to support your response.

Required Readings

Kettner, P. M., Moroney, R. M., & Martin, L. L. (2017). Designing and managing programs: An effectiveness-based approach (5th ed.). Thousand Oaks, CA: Sage.

· Chapter 1, “Contemporary Issues in Social Services Program Planning and Administration”

The first chapter of this text describes current issues related to designing and managing programs. By asking the reader to briefly analyze an existing program, the authors lay out the topics that will be addressed in the book-and throughout this course.

· Chapter 3, “Understanding Social Problems”

Chapter 3 emphasizes critical considerations for developing an understanding of a social problem that may differ from how this has been approached by service providers in the past-including the importance of beginning with problem analysis early in the planning process and focusing on understanding the problem rather than generating solutions.

Choma, K. & McKeever, A.E. (2016). Cervical cancer screening in adolescents: A evidence-based Internet education program for practice improvement among advanced practice nurses. Worldviews on Evidence-Based Nursing, 12(1), 51–60. doi: http://dx.doi.org/10.5888/pcd10.120107 (See attached file)

Dalum, P., Brandt, C.L., Skov-Ettrup, L., Tolstrup, J., & Kok, G. (2016). The systematic development of an Internet-based smoking cessation intervention for adults. Tobacco Cessation, 17(4), 490–500 doi: 10.1177/1524839916631536 (See attached file)

DeCaporale-Ryan, L. N., Cornell, A., McCann, R. M., McCormick, K., & Speice, J. (2014) Hospital to home: A geriatric educational program on effective discharge planning, Gerontology & Geriatrics Education, 35:4, 369–379, doi:10.1080/02701960.2013.858332 (See attached file)

Required Media

Laureate Education (Producer). (2011). Design and evaluation of programs and projects [Video file]. Baltimore, MD: Author.

“Introduction to Program Planning” (featuring Dr. Rebecca Lee, Franko Wantsala, and Alexis Kidd)

You may view this course video by clicking the link or on the course DVD, which contains the same content. Once you’ve opened the link, click on the appropriate media piece.

This week’s videos, featuring Dr. Rebecca Lee, Franko Wantsala, and Alexis Kidd, share a program example at Seven Hills Neighborhood Houses in Cincinnati.

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 Topic 3 DQ 1

From the cultural groups you reviewed for the High-Risk Nutritional Practices assignment, briefly explain an unusual high-risk practice and how it impacts your role as a medical professional with reference.

 Topic 3 DQ 2

What factors influencing nutritional practices in the United States could be changed to improve health?with reference.

High-Risk Nutritional Practices Paper

Examine the high-risk nutritional behaviors associated with different cultures. Identify the historical perspectives, belief systems, and other factors associated with these high-risk nutritional behaviors for each culture. Write a 1,500-3,000 word paper on your findings in which you accomplish the following:

1. Summarize the high risk-nutritional behaviors practiced among two or three different cultures.
2. Discuss the historical perspectives and belief systems of these cultures that influence the high-risk nutritional behaviors.
3. Explore additional influencing factors on high-risk behaviors for each culture. These may include, but are not limited to (a) education, (b) family roles, (c) spiritual beliefs, (d) health care practices, and (e) drug and alcohol use.

This paper requires minimum of six outside resources in addition to the textbook.

Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.

 Topic 4 DQ 1

Describe the spectrum of death and dying rituals and practices across cultures. Why are death and dying rituals so significant?

 Topic 4 DQ 2

What death and dying practices are contrary to your personal beliefs or chosen religious values? How will you support a patient’s death and dying rituals and practices, and still honor your own?

Allied health professionals are confronted with different death and dying practices. An effective allied health professional recognizes the importance of understanding different cultural practices, and learns how to evaluate the death, dying, and spiritual beliefs and practices across the cultures.

Read the two specified case histories and choose one for this assignment.

Chapter 4, “Stories of Abby: An Ojibwa Journey” and Chapter 14, “Stories of Shanti: Culture and Karma,” by Gelfland, Raspa, and Sherylyn, from End-of-Life Stories: Crossing Disciplinary Boundaries (2005), from the the GCU Library.

Identify your role as a health care professional in supporting Abby or Shanti’s dying rituals, and in creating strategies for displaying respect while still providing quality care. Integrate your strategies as you develop a care plan describing how you would approach the situation and care for the patient. Review the “Care Plan” template prior to beginning.

Include the following in your care plan:

1. Communication: family and patient
2. Treatment options that align with the specific culture
3. Education: family and patient
4. Family roles in the process
5. Spiritual beliefs
6. Barriers
7. Cultural responses
8. Any additional components that you feel would need to be addressed (from your perspective as a health care professional)

Care Plan

Patient’s Name: ____________________________________________________ Date: ________________________________________

Patient’s Diagnosis: ___________________________________________________________________________________________

Problems/Needs

(Include   date.)

Goals

Interventions/Actions

Discipline/Person Responsible

Outcome/Comments

(Initial and date.)

Topic 5 DQ 1

If you were caring for a child who could be cured if given blood transfusions, but whose parents refused permission to give the transfusions due to religious beliefs, what would you do?

 Topic 5 DQ 2

Some parents are refraining from giving certain immunizations to their children. How will this affect diseases in the United States in the future? How as medical professionals can we embrace these nontraditional practices?

Benchmark – Nontraditional Health Care Practices

Research different popular nontraditional health care practices. Write a 1,000-1,200 word paper exploring nontraditional health care practices and include the following:

1. Describe nontraditional health care practices in different cultures. Compare at least three cultures.
2. Explain how these practices affect wellness and prevention in different cultures.
3. Identify the nontraditional health care options in your areas, and identify the number of people choosing to use them over traditional medical practices. Propose reasons why the number of people using nontraditional health care options is rising.

Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.

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