Client Questions

Nature offers many examples of specialization and collaboration. Ant colonies and bee hives are but two examples of nature’s sophisticated organizations. Each thrives because their members specialize by tasks, divide labor, and collaborate to ensure food, safety, and general well-being of the colony or hive. Of course, humans don’t fare too badly in this regard either. And healthcare is a great example. As specialists in the collection, access, and application of data, nurse informaticists collaborate with specialists on a regular basis to ensure that appropriate data is available to make decisions and take actions to ensure the general well-being of patients. In this Discussion, you will reflect on your own observations of and/or experiences with informaticist collaboration. You will also propose strategies for how these collaborative experiences might be improved. To Prepare: Review the Resources and reflect on the evolution of nursing informatics from a science to a nursing specialty. Consider your experiences with nurse Informaticists or technology specialists within your healthcare organization. Post a description of experiences or observations about how nurse informaticists and/or data or technology specialists interact with other professionals within your healthcare organization. Suggest at least one strategy on how these interactions might be improved. Be specific and provide examples. Then, explain the impact you believe the continued evolution of nursing informatics as a specialty and/or the continued emergence of new technologies might have on professional interactions.   McGonigle, D., & Mastrian, K. G. (2017). Nursing informatics and the foundation of knowledge (4th ed.). Burlington, MA: Jones & Bartlett Learning. Chapter 25, “The Art of Caring in Technology-Laden Environments” (pp. 525–535) Chapter 26, “Nursing Informatics and the Foundation of Knowledge” (pp. 537–551)   In the Discussion for this module, you considered the interaction of nurse informaticists with other specialists to ensure successful care. How is that success determined? Patient outcomes and the fulfillment of care goals is one of the major ways that healthcare success is measured. Measuring patient outcomes results in the generation of data that can be used to improve results. Nursing informatics can have a significant part in this process and can help to improve outcomes by improving processes, identifying at-risk patients, and enhancing efficiency. To Prepare: Review the concepts of technology application as presented in the Resources. Reflect on how emerging technologies such as artificial intelligence may help fortify nursing informatics as a specialty by leading to increased impact on patient outcomes or patient care efficiencies. The Assignment: (4-5 pages) In a 4- to 5-page project proposal written to the leadership of your healthcare organization, propose a nursing informatics project for your organization that you advocate to improve patient outcomes or patient-care efficiency. Your project proposal should include the following: Describe the project you propose. Identify the stakeholders impacted by this project. Explain the patient outcome(s) or patient-care efficiencies this project is aimed at improving and explain how this improvement would occur. Be specific and provide examples. Identify the technologies required to implement this project and explain why. Identify the project team (by roles) and explain how you would incorporate the nurse informaticist in the project team.

The benchmark assesses the following competencies: 1.4 Participate in health care policy development to influence nursing practice and health care. Research public health issues on the “Climate Change” or “Topics and Issues” pages of the American Public Health Association (APHA) website. Investigate a public health issue related to an environmental issue within the U.S. health care delivery system and examine its effect on a specific population. Write a 750-1,000-word policy brief that summarizes the issue, explains the effect on the population, and proposes a solution to the issue. Follow this outline when writing the policy brief: 1. Describe the policy health issue. Include the following information: (a) what population is affected, (b) at what level does it occur (local, state, or national), and (c) evidence about the issues supported by resources. 2. Create a problem statement. 3. Provide suggestions for addressing the health issue caused by the current policy. Describe what steps are required to initiate policy change. Include necessary stakeholders (government officials, administrator) and budget or funding considerations, if applicable. 4. Discuss the impact on the health care delivery system. Include four peer-reviewed sources and two other sources to support the policy brief. Prepare this assignment according to the guidelines found in the APA Style Guide,  An abstract/thesis is required.

Personal statement or philosophy statement relating to your role as a Family Nurse Practitioner Please write it in the 3rd person . Like I

Throughout the course, students will engage in weekly reflection and scholarly activities. These assignments are presented in Topic 1 to allow students to plan ahead, and incorporate the deliverables into the Individual Success Plan if they so choose. The weekly reflective journals and scholarly activities will not be submitted in LoudCloud each week; a final, culminating submission will be due in Topic 10. No submission is required until Topic 10. Professional Capstone and Practicum Reflective Journal Students are required to maintain weekly reflective narratives throughout the course to combine into a final, course-long reflective journal that integrates leadership and inquiry into current practice as it applies to the Professional Capstone and Practicum course. This course-long journal assignment will be due in Topic 10. In each week’s entry, you should reflect on the personal knowledge and skills gained throughout the Professional Capstone and Practicum course. Your entry should address a variable combination of the following, dependent on the specific practice immersion clinical experiences you encountered that week: New practice approaches Intraprofessional collaboration Health care delivery and clinical systems Ethical considerations in health care Population health concerns The role of technology in improving health care outcomes Health policy Leadership and economic models Health disparities In the Topic 10 submission, each of the areas should be addressed in one or more of the weekly entries. This reflection journal also allows students to outline what they have discovered about their professional practice, personal strengths and weaknesses that surfaced, additional resources and abilities that could be introduced to a given situation to influence optimal outcomes, and finally, how they met competencies and course objectives. Scholarly Activities Throughout the RN-to-BSN program, students are required to participate in scholarly activities outside of clinical practice or professional practice. Examples of scholarly activities include attending conferences, seminars, journal club, grand rounds, morbidity and mortality meetings, interdisciplinary committees, quality improvement committees, and any other opportunities available at your site, within your community, or nationally. You are required to post one scholarly activity while you are in the BSN program, which should be documented by the end of this course. In addition to this submission, you are required to be involved and contribute to interdisciplinary initiatives on a regular basis. In Topic 10, you will submit a summary report of your scholarly activity. You may use the “Scholarly Activity Summary” resource to help guide this assignment. NRS-490-RS-ScholarlyActivitySummary.docx

Are you ready to present the policies for your two compliance plans in a way that all employees will understand at a large medical facility where you are the Compliance Officer? In 4-page paper describe the policies for each of the two compliance plans. Break each policy section into 2 pages each. Remember to support your policies for the two plans with a total of three research sources, cited at the end in APA format. (That’s 1-2 research sources per plan). Then, summarize your plan in a 5-8 slide PowerPoint presentation. Polices you should consider covering for each plan come under the key compliance elements: Compliance Standards High-Level (personal) Responsibility Education Communication Monitoring/Auditing (for Safety) Enforcement/Discipline Response/Prevention Look these over in your research, and then select just two of these key elements and write your policies under them for each of your two compliance plans. (Your policies for each plan can zero in on different key elements.) Use these two Compliance issues:    >>Clinical staff members are not washing their hands between patients.    >>Employee attacks patients while under the influences of narcotics

Sustaining change can be difficult, as there are many variables that can affect implementation. One critical component of EBP is to ensure that practice change is part of an organization’s culture so it will continue to impact outcomes over time. Name two potential barriers that may prevent your EBP change proposal from continuing to obtain the same desired results 6 months to a year from now, and your strategies for overcoming these barriers.

Discuss an interesting or difficult case you encountered this past week. How did you use evidence to support your actions . so plz rewrite this dq

We have all mentioned in this week and prior weeks discussion that cost of care is not always affordable whether you do or do not have insurance. In thinking about the implementation of the ACA, if insurance coverage was not obtained then financial penalty ensued. So basically (in my area) if you couldn’t afford to pay, you payed, to the tune of up to $285.00 per family in 2014, $325.00 in 2015, and $2085.00 in 2016-2018 (Eibner & Nowak, 2018). How did that make sense? After 2018, the financial penalty mandate was eliminated due to the Tax Cut and Jobs Act of 2017. Per the Congressional Budget office, this mandate elimination is estimated to reduce health care coverage by 3-6 million between 2019-2021 and increase the premiums on the individual market by approximately 10 percent (Eibner & Nowak, 2018). Meaning others payed to make up for the loss in penalty payments. The proposed plan of 2020 by President Trump is looking to allow pre-existing conditions to be a consideration for companies again, which will lead to yet higher premiums and higher rates of uninsured. All seems confusing with much back-and-forth. Rising health care costs due to new technology, prescription drug costs rising, rise in chronic disease, and high administrative costs are no secret. Cost management needs to come from all angles. Yet it seems no one financially benefiting wants to take the hit. Fifty- nine percent of physician in the U.S. state they are aware their patients have difficulty paying for care services (Laff, 2015). Yet, according to Laff (2015) salary report, “salaries for family physicians rose 10 percent between 2014 and 2015, the fifth highest rate of increase for any specialty.” I would venture to say that it would be a rarity to find a worker in the medical field that would say they feel they are overpaid and willing to take a pay cut to help reduce medical costs and allow more to be insured. With this class making me more aware of the issues and proposed plans, it surely makes me wonder if resolution is even a possibility, or if the gap will just widen as each new plan that gets put into place just gets overturned by the next in office and more people get lost in the mix.  Respond to the above post in just 200-250 words Two  APA references

In nursing practice, accurate identification and application of research is essential to achieving successful outcomes. Being able to articulate the information and successfully summarize relevant peer-reviewed articles in a scholarly fashion helps to support the student’s ability and confidence to further develop and synthesize the progressively more complex assignments that constitute the components of the course change proposal capstone project. For this assignment, the student will provide a synopsis of eight peer-reviewed articles from nursing journals using an evaluation table that determines the level and strength of evidence for each of the eight articles. The articles should be current within the last 5 years and closely relate to the PICOT statement developed earlier in this course. The articles may include quantitative research, descriptive analyses, longitudinal studies, or meta-analysis articles. A systematic review may be used to provide background information for the purpose or problem identified in the proposed capstone project. Use the “Literature Evaluation Table” resource to complete this assignment. While APA style is not required for the body of this assignment, solid academic writing is expected, and in-text citations and references should be presented using APA documentation guidelines, which can be found in the APA Style Guide, located in the Student Success Center. 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 not required to submit this assignment to LopesWrite.

Prepare a 10-minute presentation (10-15 slides, not including title  or reference slide) on organizational culture and values. Describe how alignment between the values of an organization and the values of the nurse impact nurse engagement and patient  outcomes. Discuss how an individual can use effective communication techniques to overcome workplace challenges, encourage collaboration across groups, and promote effective problem solving.    Incorporate how system needs and the culture of health may influence the outcomes. How does this relate to health promotion and disease prevention in the larger picture? Identify a specific instance from your own professional experience in which the values of the organization and the values of the individual nurses did or    did not align. Describe the impact this had on nurse engagement and    patient outcomes. While APA style format is not required for the body of this  assignment, solid academic writing is expected and in-text citations  and references should be presented using APA documentation guidelines,  which can be found in the APA Style Guide, located in the Student  Success Center. 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 not required to submit this assignment to LopesWrite.