Week 4 Assignment Nurs 6231 Healthcare Systems And Quality Outcomes

This assignment is to related to Regional One Health, Memphis, TN….

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

Hickey, J. V., & Brosnan, C. A. (2017). Evaluation  of health care quality in for DNPs (2nd  ed.). New York, NY: Springer Publishing Company.
Chapter 10, “Evaluation of Patient Care Standards, Guidelines, and Protocols” (pp. 207-226)
Chapter 12, “Evaluating Populations and Population Health” (pp. 265-280)Chapter 10 reviews methods for using national, local, and organizational standards to evaluate the quality of health care practices. Chapter 12 examines strategies for identifying quality issues through the evaluation of populations.

Sadeghi, S., Barzi, A., Mikhail, O., & Shabot, M. M. (2013). Integrating quality and strategy in health care organizations, Burlington, MA: Jones & Bartlett Publishers.
Chapter 3, “General Concepts in Quality” (pp. 45–82)See the six aims for quality proposed by the Institute of Medicine (IOM).

Bellot, J. (2011). Defining and assessing organizational culture. Nursing Forum, 46(1), 29–37.

Defining and assessing organizational culture by Bellot, J., in Nursing Forum, 46(1),  29–37. Copyright 2011 by John Wiley & Sons – Journals. Reprinted by permission of John Wiley & Sons – Journals via the Copyright Clearance Center.

Bellot reviews the definition of organizational culture, methods for evaluating organizational culture, and the application of Schein’s framework to defining the culture of health care organizations.

Dixon, M. A., & Dougherty, D. S. (2010). Managing the multiple meanings of organizational culture in interdisciplinary collaboration and consulting. Journal of Business Communication, 47(1), 3–19.
Retrieved from the Walden Library databases.

This article demonstrates the importance of not only understanding the culture of an organization, but also how these dynamics affect workplace performance and retention of employees.

Dorgham, S. R. (2012). Relationship between organization work climate & staff nurses organizational commitment. Nature and Science, 10(5), 80–91. Retrieved from http://www.sciencepub.net/nature/ns1005/009_9000ns1005_80_91.pdf

The correlation between organizational climate and commitment and its effect on an organization is evaluated in this study.

Hartnell, C. A., Ou, A. Y., & Kinicki, A. (2011). Organizational culture and organizational effectiveness: A meta-analytic investigation of the competing values framework’s theoretical suppositions. Journal of Applied Psychology, 96(4), 677–694.
Retrieved from the Walden Library databases.

This article presents a study on the relationship between culture types and organizational effectiveness. The authors apply specific values frameworks to determine the relationships while also assessing the competing values framework.

Schein, E. H. (1996). Three cultures of management: The key to organizational learning. Sloan Management Review, 38(1), 9–20.
Retrieved from the Walden Library databases.

In this seminal article, Schein identifies three subcultures found within an organization and the effects of these competing cultures on an organization’s effectiveness.

Wait, S. T., & Dayman, M. A. (2012, July/August). Company culture drives business value. Value Examiner, 30–31.
Retrieved from the Walden Library databases.

The authors connect company culture to innovation and success.

Institute of Medicine. (2001). Crossing the quality chasm: A new health system for the 21st century. Retrieved from https://www.nationalacademies.org/hmd/~/media/Files/Report%20Files/2001/Crossing-the-Quality-Chasm/Quality%20Chasm%202001%20%20report%20brief.pdf

This report briefly outlines the six aims of the IOM to improve the quality of health care.

Schein, E. H. (1997). Organizational culture & leadership. Retrieved from http://www.tnellen.com/ted/tc/schein.html

Edgar Schein is one of the early writers on organizational culture. In this foundational article, Schein outlines various dimensions of organizational culture, and how leaders create, transmit, and embed organizational culture.

Grading Criteria

To access your rubric:
Week 4 Discussion Rubric

Post by Day 3 and Respond by Day 6

To participate in this Discussion:
Week 4 Discussion

Project 1: Promoting Health Care Quality

Section 1: Organizational Systems and Structures Evaluation

As you continue your evaluation of a health care organization, it is essential to pay attention to culture. Organizational culture provides the context in which all interactions and processes occur, and is therefore central to any effort to enact change.

To prepare:

  • Continue to analyze your selected organization, as indicated in Week 3 (Section 1 of the Course Project).
  • In addition, consider the ideas and information exchanged in this week’s Discussion. Continue to analyze essential elements of organizational culture and evaluate the influence of culture on the ability to achieve goals within your selected organization.

To complete:

Write a 3- to 5-page paper in which you:

  • Provide a description of the organization you selected
  • Present your analysis of the organization with attention to:
    • Its mission, vision, values
    • Strategic plan, goals, and objectives
    • Key operational processes and patterns
    • Information technology use
    • Organizational priorities and investments, as indicated by financial data
    • The essential elements of the organization’s culture
    • The influence of culture on meeting organizational goals
PLEASE DON’T SAY YOU CAN DO THIS ASSIGNMENT UNLESS YOU HAVE READ AND COMPLETELY UNDERSTAND WHAT IS NEED TO COMPLETE THE ASSIGNMENT CORRECTLY.
 
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Week 4 Discussion Pharm

Respiratory Case Study

For this question, please read the following case study and then respond to the questions noted below

Johnathan, age 7, presents to the office with symptoms of worsening cough and wheezing for the past 24 hours. He is accompanied by his mother, who is a good historian. She reports that her son started having symptoms of a viral upper respiratory infection 2 to 3 days ago, beginning with a runny nose, low-grade fever of 101.0 degrees F orally, and loose cough. Wheezing started on the day before the visit, so Johnathan ‘s mother started administering albuterol metered-dose inhaler (MDI) two puffs before bed and then two puffs at around 2 AM. The cough and wheezing appear worse today, according to the mother. He had difficulty taking deep-enough breaths to inhale this morning’s dose of albuterol, even using the spacer.

Johnathan has been a patient at the clinic since birth and is up to date on his immunizations. His growth and development have been normal, and he is generally healthy except for mild intermittent asthma. This is his first asthma exacerbation of the school year, and his mother expresses a concern about sending him to school with an inhaler.

Johnathan is afebrile with a respiratory rate of 36 and a tight cough every 1 or 2 minutes. He weighs 45 pounds (20.5 kgs.). The examination is all within normal limits except for his breath sounds. He has diffused expiratory wheezes and mild retractions. Pulse oximetry readings have been 93% of oxygen saturation.

  1. What is the appropriate pharmacological therapies to be prescribed for Johnathan
  2. What information is necessary to provide to Johnathan and his mother regarding asthma exacerbation?
  3. What is an appropriate clinical assessment tool to be use with Johnathan?
  4. What are the classification of asthma?
  5. How would you as the NP address his mother’s concern regarding providing an inhaler at school?
  6. What is an appropriate plan of care for Johnathan?
 
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Week 4 Assignment 6005

 Azithromycin is my topic this time please use the same table you used last time.

 

Each student will be responsible for preparing one presentation on pharmacological management of the disease or pharmacological applications of a drug or group of drugs.

  1. Each student will clearly write a title for this topic. Examples are ‘Pharmacological Management of Deep Vein Thrombosis and/or Pulmonary Embolisms Using Anticoagulants/Thrombolytics and Nursing Implications’ or ‘Pharmacological Effects of Anti-hypertensive Medications in the Management of Hypertension and Nursing Implications’.
    • Nursing Implications are the nursing related consequences and what you as the nurse should be looking for in the treatment and care of your patient.
  2. Students must get their title approved by the professor before the deadline shown in your schedule. Unapproved titles will not be accepted
  3. The presentation must identify the Pharmacodynamic properties and actual/potential effects on the patient.
  4. This is worth 20 points.

Submission Details:

 
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Week 4 Discussion Pharm Comment

Comment using your own words but please provide at least one reference for each comment.

Do a half page for discussion #1 and another half page for discussion #2 for a total of one page.

Provide the comment for each discussion separate.

 
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Week 4 Discussion Comment

Comment using your own words but please provide at least one reference for each comment.

Do a half page for discussion #1 and another half page for discussion #2 for a total of one page.

Provide the comment for each discussion separate.

 
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Week 4 Discussion 19472941

Week 4 discussion.

Tasks: Respond to the following two questions with two pages answer for each one. Separate responses from each question.

Guidelines: Support your responses with scholarly academic references using APA style format. Assigned course readings and online library resources are preferred. Weekly lecture notes are designed as overviews to the topic for the respective week and should not serve as a citation or reference.

In your discussion question response, provide a substantive response that illustrates a well-reasoned and thoughtful response; is factually correct with relevant scholarly citations, references, and examples that demonstrates a clear connection to the readings

Q1 – Choose a middle-range theory or grand theory that, in your opinion, can be applied to research. What are the assumptions underpinning this theory? Discuss how this theory finds application in research.

Q2– Choose a middle-range theory or grand theory that, in your opinion, can be applied to practice. What are the assumptions underpinning this theory? Discuss how this theory finds application in your area of practice.

Choose one theory from the following:

1- Quality of Nursing care Theory – June H Larrabee

2- Theory of Unpleasant Symptoms – Elizabeth R Lenz and Linda C Pugh

3- Theory of Comfort – Katharine Kolcaba

 
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Week 4 Discussion 19438123

Patient present to the clinic complaining of a dry cough that is getting worse. Explain how important is for the physician to ask the patient the following 2 questions:

1-Recent echocardiogram?

2- Peripheral  Swelling?

 
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Week 4 Discussion 19426913

  

Week 4 Discussion

Discussion Questions

Post your complete response to these two discussion questions in the appropriate threads in the Discussion Area by the due date assigned. 

Separate the answers from each question. 

Health Policy: Reimbursement of NPs

DQ 1 For this question, conduct an Internet search and produce at least one research article (study design must be discussed) addressing one or more of the concepts noted.

How does APN practice demonstrate cost-effectiveness, reduction in errors and misuse or overuse of services?

DQ 2 For this question, conduct an Internet search (including the online library as well as specialty organizations) and address the following questions relative to the Nurse Informaticists:

1. When would you consult with the nurse informaticists?

2. What role does the nurse informaticists play in primary care?

3. What qualifications and credentialing are held by nurse informaticists?

Suggested URLs to assist you in answering this DQ:

· American Nursing Informatics Association (https://www.ania.org/)

· The NI Community of HIMSS  ( https://www.himss.org/nursing-informatics-community )

· The Alliance for Nursing Informatics ( https://www.allianceni.org/ )

· The Nursing Informatics Special Interest Group of the American Medical Informatics Association. ( https://www.amia.org/programs/working-groups/nursing-informatics )

 
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Week 4 Discussion 19426605

DQ 1 For this question, conduct an Internet search and produce at least one research article ( study design must be discussed) addressing one or more of the concepts noted.

How does APN practice demonstrate cost-effectiveness, reduction in errors and misuse or overuse of services?

DQ 2 For this question, conduct an Internet search ( including the online library as well as specialty organizations) and address the following questions relative to the Nurse Informaticists:

  1. When would you consult with the nurse informaticists?
  2. What role does the nurse informaticists play in primary care?
  3. What qualifications and credentialing are held by nurse informaticists?
 
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Week 4 Discussion 19308471

Apply information from the Aquifer Case Study to answer the following discussion questions:

  • Discuss the Mrs. Gomez’s history that would be pertinent to her difficulty sleeping. Include chief complaint, HPI, Social, Family and Past medical history that would be important to know.
  • Describe the physical exam and diagnostic tools to be used for Mrs. Gomez. Are there any additional you would have liked to be included that were not? 
  • Please list 3 differential diagnoses for Mrs. Gomez and explain why you chose them.  What was your final diagnosis and how did you make the determination?
  • What plan of care will Mrs. Gomez be given at this visit, include drug therapy and treatments; what is the patient education and follow-up?
 
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