Dq2 18947411
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Dq2 18932783
Discuss how the CMS reimbursement rules for never events required a shift in the patient care delivery model in inpatient facilities.
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Dq2 18920481
Describe one innovative health care delivery model that incorporates an interdisciplinary care delivery team. How is this advantageous to patient outcomes?
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Dq2 18876191
Continuous quality improvement (CQI) is the responsibility of all nurses and is vital when addressing the challenges of the health care industry. Provide an example of how you would apply CQI in your current or past position.
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Dq2 18869929
Personal affiliations and networking are important for nursing leaders. Why are these important? How will they benefit you in your career future? Identify two affiliations or a situation in which you have networked for the health of a population or your community.
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Dq2 11
Great post Anne it is also the position of National Association of School Nurses (NASN) that every child has access all day every day to a full time Registered professional school nurse. The school nurse serves in a pivotal role that bridges health care and education which is grounded by the standard of practice, services provided by the school nurse include leadership, community/public health care coordination, and quality improvement(NASN, 2016a). The history of school nursing in United State began in October 1st, 1902 with Lina Rogers being the first school nurse who was hired to reduce absenteeism by intervening with students and families regarding healthcare needs related to communicable diseases. After one month of successful nursing intervention in the New York City schools she led the implementation of evidence-based nursing care across the city (Struthers,1917) Since then school nurses continue to provide communicable disease management, but their role has expanded and is increasingly diverse Reference Agency for Healthcare Research and Quality. (2011) National Strategy for quality improvement in healthcare. Retrieved from http://www.ahrq.gov/workingforquality /nqs/nqs2011annlrpt.pdfTerri O’Brien 10 posts Alimatu – substantive credit and APA Correct this based on the below comments
You have a reference but the reference does not match either of the citations in your post and the two citations you posted do not have references at the bottom of your post. Please recopy your post and correct this so I can give you substantive credit for the post. Thank you. Professor O’Brien
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Dq2 1 Response
Re: Topic 2 DQ 1 Workplace violence in the health industry is greater than any other sector of employment, in fact the Federal Bureau of Statistics reports that violence in the healthcare is “3.8 times higher than all of private industry.” (Wolfe, 2018) In fact, the National Nurses United, the largest union of registered nurses reported workplace violence rates increased by 110% from 2005 to 2014. Examples of workplace violence include direct physical assaults (with or without weapons), written or verbal threats, physical or verbal harassment, and homicide (Occupational Safety and Health Administration OSHA, 2015). Nurses in the Emergency Room are at greatest risk for violence. Three out of four nurses routinely experience acts of verbal and physical violence, including, hitting, kicking, yelling and cursing from patients and visitors according to the January 2015 issue Journal of Emergency Nursing. Statistically violence in emergency rooms is on the rise, however, our organization has specifically seen a drastic increase of violence in the emergency room. Long wait times due to failing healthcare systems, patients suffering from mental health issues and substance abuse are contributing factors. Law enforcement in our county readily bring patients who are altered on drugs or suffering from mental health issues to our facility because other hospitals mental health services have shrunk or they have removed the programs their services and other hospitals require them to stay with the patient while we readily accept them and dismiss the officers, making our hospital the easier and more time efficient option for them. Because of the growing higher population of older adults in our specific area due to several large senior living communities and long term care/rehab facilities within the vicinity of our campus, we see a large number of patients that suffer from situations and diseases that alter the mental status of the individual. The implications are devastating. Nurses who experience violence in the workplace often suffer emotional, psychological, physical and professional consequences. Nurses often experience symptoms of post-traumatic stress after a violent incident. They may avoid talking about the event, have flashbacks, feel fearful angry, frustrated or helpless, they may also avoid patients or situations that may trigger all of these feelings. Nurses lose cognitive focus after a violent event. (Gillespie et al, 2010). Workplace violence is very costly. It is estimated that it costs billions of dollars a year. (Higazee and Rayan, 2017). Not to mention loss of work for the professional due to injury. Some nurses choose to leave the profession all together. Busby,G. ( Jan, 2017). Incidence and Costs of Workplace Violence. Journal of Emergency Nursing. Vol. 41. Issue 1. Gillespie,G.L., Gates, D.M., Miller, M. & Howard, P.K. (2010). Violence Against Healthcare workers in the Pediatric Emergency Department. Advanced Journal Emergency Nursing Journal. 32 (1), p.68-82 Higazee, M.Z.A., Rayan, A. (2017). Consequences and Control Measures of Workplace Violence among Nurses. Journal of Nursing and Health Studies.Vol.2 No.3:22. OSHA (2015). Caring for our Caregivers. Preventing Violence a Roadmap for Healthcare Facilities. Retrieved o https://www.osha.gov/Publications/OSHA3827.pdfn October 20, 2019 from Wolfe, E., (3 Oct. 2018). Violence Against Emergency Staffers Seen as Increasing. Fairwarning reports. Retrieved on October 20, 2019, from https://www.fairwarning.org/2018/10/violence-emergency-rooms-workplace-physicians-nurses/
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Dq1wk3 Ans Christine Valdora
Florence Nightingale was the first modern nurse. She worked during the Crimean War 1854-1856 initially dealing with unsanitary conditions that existed in field hospitals during the war. Florence Nightingales created the Coxcomb Diagram. This was a monthly analysis categorizing death from wounds, death from preventable diseases, and death from all other causes.
Simple changes to sanitary conditions resulted in dramatic decrease in mortality rates in a 6-month period.
Nightingale founded training schools for nurses in 1860.
Lillian Ward founded visiting nurse services of New York. She cared for poor immigrants on the lower east side of Manhattan a practice which continues to this day.
Ward is credited with the organization of public school nursing designed to decreases absenteeism in NYC schools.
In the 20 th Century improvement to pharmacology made it easier to treat diseases. There was also a shift from public health to individual well-being.
At first, nurses were trained by hospitals, eventually institutes of higher learning; i.e. colleges and universities.
One of the greatest changes in the nursing profession are the various education touchstones. The three most common are diploma, associates and baccalaureate.
Today we treat the whole person and utilize a holistic approach as is seen in the metaparadigm of nursing concepts; nursing, person, environment and health.
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Dq2 18977249
Now that you have completed a series of assignments that have led you into the active project planning and development stage for your project, briefly describe your proposed solution to address the problem, issue, suggestion, initiative, or educational need and how it has changed since you first envisioned it. What led to your current perspective and direction?
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Dq2 18973769
Technology is integral to successful implementation in many projects, through either support or integration or both. Name at least one technology that could improve the implementation process and the outcomes of your EBP project. Do you plan to use this technology? If not, what are the barriers that prevent its use?
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